NPIMap

Organization Active NPI

Specialized Daycare Services, Inc

Doing business as My Friends Pediatric Day Healthcare Center

  • Child Physical Disabilities Respite Care
  • Modesto, CA
National Provider Identifier
1619351574
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
Legal business name
SPECIALIZED DAYCARE SERVICES, INC
Doing business as
My Friends Pediatric Day Healthcare Center
Practice address
1100 Kansas Ave
Modesto, CA 95351-1596
Phone
(916) 987-8632
Fax
(916) 989-8635
NPI assigned
Jul 10, 2015
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECIALIZED DAYCARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Simone Giachino
Title
Owner
Phone
(916) 987-8632

Specialties & licenses 2

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

Addresses

Primary practice location

1100 Kansas Ave
Modesto, CA 95351-1596

Mailing address

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

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": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1619351574",
    "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": "1100 KANSAS AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511596",
            "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": "2015-07-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "GIACHINO",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-987-8632"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Friends Pediatric Day Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.