Provident Health Care 619
NPI 1538552591 · Intellectual Disabilities Intermediate Care Facility · Merced, CA
Provident Health Care 619 is a Intellectual Disabilities Intermediate Care Facility organization in Merced, CA (NPI 1538552591).
Provider details
- NPI number
- 1538552591
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Tiu, Executive Director(209) 725-1770
- License
- 3470423 (CA)
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
11 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
Registry dates
- Enumerated
- 2015-03-13
- Last updated
- 2015-03-13
Frequently asked questions
- What is Provident Health Care 619's NPI number?
- Provident Health Care 619's National Provider Identifier (NPI) is 1538552591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Health Care 619?
- Provident Health Care 619 is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Provident Health Care 619 located?
- Provident Health Care 619's practice location on file with NPPES is 44665 Road 619, Merced, CA 95348.
- What is Provident Health Care 619's phone number?
- The practice phone number listed in the NPPES registry for Provident Health Care 619 is (209) 725-1770.
- Who is the authorized official for Provident Health Care 619?
- The authorized official listed on Provident Health Care 619's NPPES record is Jerry Tiu, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Health Care 619's NPI active?
- Yes — Provident Health Care 619's NPI (1538552591) is active in the NPPES registry as of the last update on 2015-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.