NPIMap

Organization Active NPI

Merced Health Care Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Ahwahnee, CA
National Provider Identifier
1124411103
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MERCED HEALTH CARE INC.
Practice address
42339 Lulang LN
Ahwahnee, CA 93601
Phone
(209) 725-1770
NPI assigned
Mar 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerry Tiu
Title
Executive Director
Phone
(209) 725-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

42339 Lulang LN
Ahwahnee, CA 93601

Mailing address

1331 Riverside CT
Merced, CA 95348-8409

National Provider Directory

National Provider Directory
Tax ID family
Merced Health Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426291200000",
    "number": "1124411103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 RIVERSIDE CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953488409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42339 LULANG LN",
            "city": "AHWAHNEE",
            "state": "CA",
            "postal_code": "93601",
            "telephone_number": "209-725-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A",
        "authorized_official_last_name": "TIU",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-725-1770"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahwahnee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.