Active NPI
Yolo Crisis Nursey Inc
- Case Manager/Care Coordinator
- Davis, CA
National Provider Identifier
1073298055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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
National Provider Directory
National Provider DirectoryLocations
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.