Friendship Adult Day Care Center, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

425801731 Issued in CA

Legal business name

FRIENDSHIP ADULT DAY CARE CENTER, INC.

Practice address

820 N Fairview Ave
Goleta, CA 93117-1823

Phone

(805) 969-0859

Fax

(805) 565-3828

NPI assigned

Apr 6, 2018

Organization subpart

Yes

Parent organization

FRIENDSHIP ADULT DAY CARE CENTER, INC.As reported in NPPES

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

Authorized official

Name

Ms. Tracy Cohn

Title

Administrator

Phone

(805) 969-0859

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Friendship Adult Day Care Center Goleta Other name

Tax ID family

Friendship Adult Day Care Center Inc2 organizations share this tax ID, including this one

Part of

Friendship Adult Day Care Center Inc

Other organizations with this tax ID 1

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

• Friendship Adult Day Care Center, Inc.

  • Adult Day Care Clinic/Center
  • Santa Barbara, CA
  • NPI 1043715436
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Friendship Adult Day Care Center, Inc.

  • Adult Day Care Clinic/Center
  • Santa Barbara, CA
  • NPI 1043715436
  NPPES parent name

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1396242459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 EUCALYPTUS LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082901",
            "telephone_number": "805-969-0859",
            "fax_number": "805-565-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N FAIRVIEW AVE",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931171823",
            "telephone_number": "805-969-0859",
            "fax_number": "805-565-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP ADULT DAY CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRIENDSHIP ADULT DAY CARE CENTER, INC.",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-969-0859",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "425801731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "425801731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Adult Day Care Center Goleta",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Friendship Adult Day Care Center Goleta",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zemja Carol Franicevic
• Gavin Frank
• Lissa Frecker
• Rosy Matos Fredeen, PH.D.
• Christine Fredericks, PH.D.
• Laurie Furuta
• Avarey Bella Gaeckle
• Crystal Ann Galvan, D.C.
• Karina Garcia, M.D.
• Lucas Garcia

• Adult Day Care Clinic/Center in Goleta, CA
• Providers in Goleta, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.