Donna Dr/ Davidson Childrens Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

DONNA DR/ DAVIDSON CHILDRENS HOME

Practice address

1110 E Donna Dr
Merced, CA 95340-0678

Phone

(209) 384-7402

Fax

(209) 383-1538

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Diane Davidson, RN

Title

Owner/ Administrator

Phone

(209) 384-7402

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1659566511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E DONNA DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400678",
            "telephone_number": "209-384-7402",
            "fax_number": "209-383-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E DONNA DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400678",
            "telephone_number": "209-384-7402",
            "fax_number": "209-383-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA DR/ DAVIDSON CHILDRENS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "209-384-7402",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma N Dominguez
• Esmerelda Dominguez
• Donald P Carter, MD (Gateway ENT & Hearing Services)
• David Patrick Donaldson
• Scott Donaldson
• Selina Dorado
• Jaime Dorantes
• Graciela Douthard
• Candace Dove
• Dr Kurra Inc

• Intellectual Disabilities Intermediate Care Facility in Merced, CA
• Providers in Merced, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.