Provident Health Care Windy Gap

LBN: Provident Health Care Inc.
Provident Health Care Windy Gap is an health care organization with primary practice located at 42406 Windy Gap Dr , Ahwahnee CA 93601. 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 Inc. can be contacted via phone (559) 683-8020, or through Tiu, Jerry via phone (209) 723-4888.

Contact Information

Primary practice address
42406 Windy Gap Dr Ahwahnee CA 93601
Phone: (559) 683-8020
Fax: (209) 722-7087
Website:
Map and Directions
Authorized official contact:
Name: Tiu, Jerry
Phone: (209) 723-4888

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 3480108 California

Profile Details

NPI number 1598157604
LBN Legal business name Provident Health Care Inc.
DBA Doing business as Provident Health Care Windy Gap
Authorized official Tiu, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2015
Last updated Feb 26th, 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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