Organization Active NPI

Self-Help for the Elderly

  • Adult Day Care Clinic/Center
  • San Francisco, CA
National Provider Identifier
1225240344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SELF-HELP FOR THE ELDERLY
Practice address
408 22ND Ave
San Francisco, CA 94121-3014
Phone
(415) 666-7556
Fax
(415) 666-1899
NPI assigned
May 3, 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
Mrs. Gracia Wiarda
Title
Program Director
Phone
(415) 677-7565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

408 22ND Ave
San Francisco, CA 94121-3014

Mailing address

408 22ND Ave
San Francisco, CA 94121-3014
Phone (415) 666-7556

Other names 1

  • Adult Day Services Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0990465Self Help for the Elderly Adult Day SV408 22ND Avenue, San Francisco, CA 94121Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Self-Help for the Elderly4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

408 22nd Ave
San Francisco, CA 94121
Phone (415) 677-7562

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225240344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 22ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213014",
            "telephone_number": "415-666-7556",
            "fax_number": "415-666-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 22ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213014",
            "telephone_number": "415-666-7556",
            "fax_number": "415-666-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-HELP FOR THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIARDA",
        "authorized_official_first_name": "GRACIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "415-677-7565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.