Organization Active NPI

Yolo Crisis Nursey Inc

  • Case Manager/Care Coordinator
  • Davis, CA
National Provider Identifier
1073298055
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
YOLO CRISIS NURSEY INC
Practice address
1701 Balsam Place
Davis, CA 95618-1601
Phone
(530) 758-6680
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jennifer S Thayer
Title
President, Board of Directors Yolo
Phone
(530) 400-0415

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Supports Brokerage Agency 251X00000X
Respite Care 385H00000X

Addresses

Primary practice location

1701 Balsam Place
Davis, CA 95618-1601

Mailing address

1107 Kennedy Place
Suite 5
Davis, CA 95616-1273
Phone (530) 758-6680

Other names 1

  • Yolo Crisis Nursery Inc Other name

National Provider Directory

National Provider Directory

Locations

1107 Kennedy Pl
Ste 5
Davis, CA 95616

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1073298055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 KENNEDY PLACE",
            "address_2": "SUITE 5",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161273",
            "telephone_number": "530-758-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BALSAM PLACE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956181601",
            "telephone_number": "530-758-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLO CRISIS NURSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF DIRECTORS YOLO",
        "authorized_official_telephone_number": "530-400-0415",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yolo Crisis Nursery Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.