Provider Demographics
NPI:1811388341
Name:MY DAYHOUSE ACHIEVEMENT CENTER INC
Entity Type:Organization
Organization Name:MY DAYHOUSE ACHIEVEMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOMENICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-664-0828
Mailing Address - Street 1:2 HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2226
Mailing Address - Country:US
Mailing Address - Phone:267-477-1862
Mailing Address - Fax:267-477-1864
Practice Address - Street 1:2 HIGHLANDS DR
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2420
Practice Address - Country:US
Practice Address - Phone:267-477-1862
Practice Address - Fax:267-477-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty