Organization Active NPI

Cci, Inc.

Doing business as Stanley House

  • Intellectual Disabilities Intermediate Care Facility
  • Dublin, CA
National Provider Identifier
1366584997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
LTC60300F Issued in CA
Legal business name
CCI, INC.
Doing business as
Stanley House
Practice address
7874 Diana LN
Dublin, CA 94568-1615
Phone
(925) 479-9023
Fax
(925) 560-0125
NPI assigned
Feb 12, 2007
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
Mr. Daniel James Fisher, M.ED.
Title
President
Phone
(925) 560-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X LTC60300F CA Primary

Addresses

Primary practice location

7874 Diana LN
Dublin, CA 94568-1615

Mailing address

PO Box 112
Alamo, CA 94507-0112
Phone (925) 560-0124

Other identifiers 1

IdentifierTypeStateIssuer
LTC60300FMedicaidCA

Other names 1

  • Stanley House Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G746

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
STANLEY HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 7, 1993
Last certification
Sep 24, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
7874 Diana Lane
Dublin, CA 94568

National Provider Directory

National Provider Directory
Tax ID family
Cci Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366584997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945070112",
            "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": "7874 DIANA LN",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681615",
            "telephone_number": "925-479-9023",
            "fax_number": "925-560-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "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": "LTC60300F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60300F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanley House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.