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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Provident Health Care Inc.

Intellectual Disabilities Intermediate Care Facility in Ahwahnee, CA · enumerated 2015 · authorized official Jerry Tiu, Licensee.

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

National Provider Identifier

1598157604

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Registry record

Entity type Organization (Type 2)
Legal business name Provident Health Care Inc.
Other name <Unavail>
Practice address 42406 Windy Gap Dr, Ahwahnee, CA, 93601
Fax (209) 722-7087
Enumeration date Feb 26, 2015
Last updated in NPPES Feb 26, 2015

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 3480108 (CA) Primary

Authorized official

Name Jerry Tiu
Title Licensee

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Provident Health Care Inc.?
Provident Health Care Inc. is registered in NPPES as a Intellectual Disabilities Intermediate Care Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-26.