SPECIALIZED DAYCARE SERVICES, INC (NPI# 1619351574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619351574 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED DAYCARE SERVICES, INC |
| Other Organization Name | MY FRIENDS PEDIATRIC DAY HEALTHCARE CENTER |
| Practice Address |
1100 Kansas Ave Modesto CA 95351-1596 |
| Mailing Address |
Po Box 1111 Fair Oaks CA 95628-1111 |
| Practice Telephone | 9169878632 |
| Practice Fax Number | 9169898635 |
| Mailing Telephone | 9169878632 |
| Mailing Fax Number | 9169898635 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | SIMONE GIACHINO (OWNER) |
| Authorized Official Telephone | 9169878632 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIALIZED DAYCARE SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility |
| Other Name | Type Code |
|---|---|
| My Friends Pediatric Day Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245524792 | Specialized Daycare Services, Inc | Non-emergency Medical Transport (VAN) | 2427 N California St, Stockton, CA 95204-5507 | 2011-06-01 |
| 1629079272 | Specialized Daycare Services, Inc | Non-emergency Medical Transport (VAN) | 4811 Laguna Blvd, Suite 120, Elk Grove, CA 95758-7043 | 2005-08-04 |
| 1972504702 | Specialized Daycare Services, Inc | Non-emergency Medical Transport (VAN) | 8632 Greenback Ln, Suite A, Orangevale, CA 95662-3913 | 2005-08-02 |
| Street Address |
1100 KANSAS AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710050158 | Dao Xuanthi Tran | Psychiatry & Neurology | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2006-11-15 |
| 1083170930 | Alyssa Lenae Baker | Counselor | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2019-02-15 |
| 1407036361 | John Mark Phillips | Registered Nurse | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2007-11-08 |
| 1396956751 | Stanislaus County | Community/Behavioral Health | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-05-25 |
| 1578789061 | Karen Marie Mitchell | Social Worker | 1100 Kansas Ave, Suite B, Modesto, CA 95351-1596 | 2007-04-17 |
| 1720101058 | Behavioral Health and Recovery Services | Community/Behavioral Health | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-04-10 |
| 1699890533 | Matthew Presnell Blakeley | Counselor | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-03-20 |
| 1336278993 | Bosseba Kong | Social Worker | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2007-03-02 |
| 1033247689 | Maria Molie Tupua | Registered Nurse | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-03-02 |
| 1801922687 | Mary Elizabeth Oakes | Marriage & Family Therapist | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 385HR2065X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Physical Disabilities, Child |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810809 | Purposeful Angels Home Care LLC | Respite Care | 6701 Koll Center Pkwy Ste 250, Pleasanton, CA 94566-8062 | 2020-08-05 |
| 1205247467 | Caring Connection Health Services | Respite Care | 3217 Professional Dr, Auburn, CA 95602-2414 | 2014-05-09 |
| 1578808515 | Home of Compassion, Inc | Respite Care | 13276 Terra Bella St, Pacoima, CA 91331-3105 | 2012-12-03 |
| 1659597037 | Russian Jewish Community Cultural Center | Respite Care | 7636 Santa Monica Blvd, West Hollywood, CA 90046 | 2007-04-17 |
| 1417012402 | Optimal Services, Inc. | Respite Care | 942 Wible Rd, Bakersfield, CA 93304-4125 | 2006-12-27 |
| 1780219550 | Together We Grow | Respite Care | 42389 Winchester Rd, Temecula, CA 92590-4851 | 2020-03-11 |
| 1336445212 | Ptl Pediatric Daycare Centers Inc | Respite Care | 1890 Bedford Dr, Chico, CA 95928-7352 | 2011-02-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.