PTL PEDIATRIC DAYCARE CENTERS INC NPI 1336445212

NPI Information

NPI: 1336445212
Provider Name: PTL PEDIATRIC DAYCARE CENTERS INC
Classification: Respite Care - 385HR2065X
Entity Type: Organization

Specialization: Respite Care, Physical Disabilities, Child

Address:
1890 BEDFORD DR
CHICO, CA
ZIP 95928
Phone: (530) 343-8344
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PTL PEDIATRIC DAYCARE CENTERS INC is a respite care and physical disabilities and child respite care in Chico, CA. The provider is a facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. PTL PEDIATRIC DAYCARE CENTERS INC NPI is 1336445212. The provider is registered as an organization entity type.

The provider's business location address is:

1890 BEDFORD DR
CHICO, CA
ZIP 95928-352
Phone: (530) 343-8344
Fax: (530) 343-6683

The provider's authorized official is Robert Allen Clark .
The authorized official title is Administrator and has the following contact phone number (530) 891-0657.

The enumeration date for this NPI number is 2/9/2011 and was last updated on 2/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	550000327	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	550000327	OTHER	CALIFORNIA	CA MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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