NPIMap

Organization Active NPI

Specialized Daycare Services, Inc

  • Child Physical Disabilities Respite Care
  • Stockton, CA
National Provider Identifier
1245524792
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
License
550001883 Issued in CA
Legal business name
SPECIALIZED DAYCARE SERVICES, INC
Practice address
2427 N California St
Stockton, CA 95204-5507
Phone
(916) 987-8632
Fax
(916) 989-8635
NPI assigned
Jun 1, 2011
Organization subpart
Yes
Parent organization
SPECIALIZED DAYCARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Nancy Anne Giachino, RN
Title
President
Phone
(916) 987-8632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Child Physical Disabilities Respite Care 385HR2065X 550001883 CA Primary

Addresses

Primary practice location

2427 N California St
Stockton, CA 95204-5507

Mailing address

PO Box 1111
Fair Oaks, CA 95628-1111
Phone (916) 987-8632

Other identifiers 1

IdentifierTypeStateIssuer
1245524792MedicaidCA

Other names 1

  • My Friends Pediatric Day Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Specialized Daycare Services Inc8 organizations share this tax ID, including this one
Part of
Specialized Daycare Services Inc

Other organizations with this tax ID 7

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": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1245524792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956281111",
            "telephone_number": "916-987-8632",
            "fax_number": "916-989-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045507",
            "telephone_number": "916-987-8632",
            "fax_number": "916-989-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED DAYCARE SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALIZED DAYCARE SERVICES, INC.",
        "enumeration_date": "2011-06-01",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "GIACHINO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-987-8632",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "CA",
            "license": "550001883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245524792",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Friends Pediatric Day Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.