Provident Health Care 619

LBN: Provident Health Care 619
Provident Health Care 619 is an health care organization with primary practice located at 44665 Road 619 , Merced CA 95348. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Provident Health Care 619 can be contacted via phone (209) 725-1770, or through Tiu, Jerry via phone (209) 725-1770.

Contact Information

Primary practice address
44665 Road 619 Merced CA 95348
Phone: (209) 725-1770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tiu, Jerry
Phone: (209) 725-1770

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 3470423 California

Profile Details

NPI number 1538552591
LBN Legal business name Provident Health Care 619
DBA Doing business as
Authorized official Tiu, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2015
Last updated Mar 13th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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