NPIMap

Organization Active NPI

Daisy's Way

  • Community/Behavioral Health Agency
  • Greenville, CA
National Provider Identifier
1104974203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DAISY'S WAY
Practice address
363 Clifton Street Suite 4
Greenville, CA 27858
Phone
(252) 347-1095
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tiffany DW Jacko, RN
Title
Director
Phone
(757) 254-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

363 Clifton Street Suite 4
Greenville, CA 27858

Mailing address

363 Clifton Street Suite 4
Greenville, CA 27858
Phone (252) 347-1095

National Provider Directory

National Provider Directory
Tax ID family
Daisy's Way2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104974203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 CLIFTON STREET SUITE 4",
            "city": "GREENVILLE",
            "state": "CA",
            "postal_code": "27858",
            "telephone_number": "252-347-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CLIFTON STREET SUITE 4",
            "city": "GREENVILLE",
            "state": "CA",
            "postal_code": "27858",
            "telephone_number": "252-347-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY'S WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-254-2602",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.