Provident Health Care Inc
NPI 1275879801 · Intellectual Disabilities Intermediate Care Facility · Atwater, CA
Provident Health Care Inc is a Intellectual Disabilities Intermediate Care Facility organization in Atwater, CA (NPI 1275879801).
Provider details
- NPI number
- 1275879801
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Tiu, Owner/Licensee(209) 723-4888
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providenthealthcare-Tamarack Home
Registry dates
- Enumerated
- 2012-12-31
- Last updated
- 2012-12-31
Frequently asked questions
- What is Provident Health Care Inc's NPI number?
- Provident Health Care Inc's National Provider Identifier (NPI) is 1275879801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Health Care Inc?
- Provident Health Care Inc is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Provident Health Care Inc located?
- Provident Health Care Inc's practice location on file with NPPES is 1553 Tamarack Ave, Atwater, CA 95301-2743.
- What is Provident Health Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Provident Health Care Inc is (209) 357-2212.
- Who is the authorized official for Provident Health Care Inc?
- The authorized official listed on Provident Health Care Inc's NPPES record is Jerry Tiu, Owner/Licensee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Health Care Inc's NPI active?
- Yes — Provident Health Care Inc's NPI (1275879801) is active in the NPPES registry as of the last update on 2012-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.