Active NPI
Cci, Inc.
Doing business as Stanley House
- Intellectual Disabilities Intermediate Care Facility
- Dublin, CA
National Provider Identifier
1366584997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- LTC60300F
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC60300F | Medicaid | CA |
Other names 1
- Stanley House
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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Littlefoot House
- Intellectual Disabilities Intermediate Care Facility
- Fremont, CA
- NPI 1164564423
-
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": "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
- 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.