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NPI 1417132317 · Intellectual Disabilities Intermediate Care Facility · Long Beach, CA
Provider details
- NPI number
- 1417132317
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rolando Mercado, Owner(562) 423-6244
- License
- 96000824 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6467 California Ave
Long Beach, CA 90805-2409
Phone: (562) 423-4273
Street-level locationGet directions
Mailing address
6467 California Ave
Long Beach, CA 90805-2409
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2008-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.