CATHOLIC COMMUNITY SERVICES YUMA NPI 1497267892

NPI Information

NPI: 1497267892
Provider Name: CATHOLIC COMMUNITY SERVICES YUMA

Doing Business As: DAYBREAK ADULT DAY HEALTH CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
321 S 15TH AVE
YUMA, AZ
ZIP 85364
Phone: (928) 783-8316
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CATHOLIC COMMUNITY SERVICES YUMA is an adult day care clinic center in Yuma, AZ. CATHOLIC COMMUNITY SERVICES YUMA NPI is 1497267892. The provider is registered as an organization entity type.
The provider Is Doing Business As Daybreak Adult Day Health Care.

The provider's business location address is:

321 S 15TH AVE
YUMA, AZ
ZIP 85364-939
Phone: (928) 783-8316
Fax: (928) 783-8317

The provider's authorized official is Eva Jasso Mendez-counts .
The authorized official title is Executive Director and has the following contact phone number (928) 341-9400.

The CLIA number assigned to this NPI record is 03D0715155 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 10/26/2017.

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	261QA0600X	Clinic/Center	Adult Day Care	AL3382D	ARIZONA	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	153841	MEDICAID	ARIZONA

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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