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Provident Health Care 619

Intellectual Disabilities Intermediate Care Facility in Merced, CA · enumerated 2015 · authorized official Jerry Tiu, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538552591

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Registry record

Entity type Organization (Type 2)
Legal business name Provident Health Care 619
Practice address 44665 Road 619, Merced, CA, 95348
Phone (209) 725-1770
Enumeration date Mar 13, 2015
Last updated in NPPES Mar 13, 2015

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 3470423 (CA) Primary

Authorized official

Name Jerry Tiu
Title Executive Director
Phone (209) 725-1770

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Provident Health Care 619?
NPPES lists Jerry Tiu (Executive Director) as the authorized official for this organization.
What is the NPI number for Provident Health Care 619?
The NPI for Provident Health Care 619 is 1538552591, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-13.