Active NPI
Cci, Inc.
Doing business as Littlefoot House
- Intellectual Disabilities Intermediate Care Facility
- Fremont, CA
National Provider Identifier
1164564423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- LTC60225G
- Legal business name
- CCI, INC.
- Doing business as
- Littlefoot House
- Practice address
- 180 Little Foot Dr
Fremont, CA 94539-6634 - Phone
- (510) 770-0665
- Fax
- (925) 560-0125
- NPI assigned
- Feb 13, 2007
- 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
- Mr. Daniel James Fisher, M.ED.
- Title
- President
- Phone
- (925) 560-0124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | LTC60225G | CA | Primary |
Addresses
Primary practice location
180 Little Foot Dr
Fremont, CA 94539-6634
Mailing address
PO Box 112
Dublin, CA 94507
Phone (925) 560-0124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60225G | Medicaid | CA |
Other names 1
- Littlefoot House
National Provider Directory
National Provider Directory- Tax ID family
- Cci Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Stanley House
- Intellectual Disabilities Intermediate Care Facility
- Dublin, CA
- NPI 1366584997
-
dba Park House
- Intellectual Disabilities Intermediate Care Facility
- Fremont, CA
- NPI 1780726323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164564423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "DUBLIN",
"state": "CA",
"postal_code": "94507",
"telephone_number": "925-560-0124",
"fax_number": "925-560-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 LITTLE FOOT DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945396634",
"telephone_number": "510-770-0665",
"fax_number": "925-560-0125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-560-0124",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.ED."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": "LTC60225G",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC60225G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Littlefoot House",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fremont, 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.