Provident Health Care 619
NPI 1538552591ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Merced, CA
Intermediate Care Facility, Intellectual Disabilities in Merced, California, registered in NPPES in March 2015. The authorized official on file is Jerry Tiu, Executive Director.
Overview
| NPI | 1538552591 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2015 |
| Last updated in NPPES | Mar 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 3470423 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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