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SPECIALIZED DAYCARE SERVICES INC. NPI 1497921480


NPI Information

NPI: 1497921480
Provider Name: SPECIALIZED DAYCARE SERVICES, INC.

Doing Business As: MY FRIENDS PEDIATRIC DAY HEALTH CARE CENTER

Classification: Respite Care - 385HR2065X
Entity Type: Organization

Specialization: Respite Care, Physical Disabilities, Child

CLIA Number: 05D1007584

Address:
2288 LINCOLN AVE
SAN JOSE, CA
ZIP 95125
Phone: (408) 723-2288
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SPECIALIZED DAYCARE SERVICES, INC. is a respite care and physical disabilities and child respite care in San Jose, CA. The provider is a facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. SPECIALIZED DAYCARE SERVICES, INC. NPI is 1497921480. The provider is registered as an organization entity type.
The provider Is Doing Business As My Friends Pediatric Day Health Care Center.

The provider's business location address is:

2288 LINCOLN AVE
SAN JOSE, CA
ZIP 95125-727
Phone: (408) 723-2288

The provider's authorized official is Nancy Anne Giachino .
The authorized official title is President and has the following contact phone number (916) 987-8632.

The CLIA number assigned to this NPI record is 05D1007584 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 1/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)No
2385HR2065XRespite CareRespite Care, Physical Disabilities, Child550000689CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1149721480MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.