Active NPI
Meridian Health Care Services, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Fresno, CA
National Provider Identifier
1043614779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- MERIDIAN HEALTH CARE SERVICES, INC.
- Practice address
- 2236 N 1St St
Fresno, CA 93703-2303 - Phone
- (559) 485-3286
- Fax
- (559) 452-1536
- NPI assigned
- Oct 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erlinda Arcuino Jamili, R.N.
- Title
- Owner/Administrator
- Phone
- (559) 999-2030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
2236 N 1St St
Fresno, CA 93703-2303
Mailing address
2236 N 1St St
Fresno, CA 93703-2303
Phone (559) 485-3286
Other names 1
- Saint Jude Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G728
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SAINT JUDE MANOR
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Sep 15, 2015
- Last certification
- Apr 25, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 2236 N 1St Street
Fresno, CA 93703
National Provider Directory
National Provider Directory- Tax ID family
- Meridian Health Care Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Fresno, CA
- NPI 1487703302
-
- Intellectual Disabilities Intermediate Care Facility
- Fresno, CA
- NPI 1669701223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412812800000",
"number": "1043614779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 N 1ST ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032303",
"telephone_number": "559-485-3286",
"fax_number": "559-452-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 N 1ST ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032303",
"telephone_number": "559-485-3286",
"fax_number": "559-452-1536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HEALTH CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A",
"authorized_official_last_name": "JAMILI",
"authorized_official_first_name": "ERLINDA",
"authorized_official_middle_name": "ARCUINO",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "559-999-2030",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Saint Jude Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.