Provider Demographics
NPI:1023180015
Name:SCRIBBLES& GIGGLES 1, LLC
Entity Type:Organization
Organization Name:SCRIBBLES& GIGGLES 1, LLC
Other - Org Name:SCRIBBLES & GIGGLES PEDIATRIC DAY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-759-1370
Mailing Address - Street 1:13411 SOUSA LN
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4637
Mailing Address - Country:US
Mailing Address - Phone:408-378-9450
Mailing Address - Fax:408-378-3728
Practice Address - Street 1:13411 SOUSA LN
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4637
Practice Address - Country:US
Practice Address - Phone:408-378-9450
Practice Address - Fax:408-378-3728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000341385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEPSP00020Medicaid