Organization Active NPI

Healthy House Within a Match Coalition

  • Case Management Agency
  • Merced, CA
National Provider Identifier
1194566653
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HEALTHY HOUSE WITHIN A MATCH COALITION
Practice address
301 W 18TH St Ste 101
Merced, CA 95340-4831
Phone
(209) 724-0102
Fax
(209) 724-0153
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Ms. Candice Oline Adam-Medefind, J.D
Title
Executive Director209658
Phone
(209) 658-1945

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
InterpreterGroup: 193200000X MULTI-SPECIALTY GROUP 171R00000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

301 W 18TH St Ste 101
Merced, CA 95340-4831

Mailing address

301 W 18TH St Ste 101
Merced, CA 95340-4831
Phone (209) 724-0102

National Provider Directory

National Provider Directory

Locations

301 W 18th St
Ste 101
Merced, CA 95340
Phone (209) 724-0102

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1194566653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 18TH ST STE 101",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404831",
            "telephone_number": "209-724-0102",
            "fax_number": "209-724-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 18TH ST STE 101",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404831",
            "telephone_number": "209-724-0102",
            "fax_number": "209-724-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HOUSE WITHIN A MATCH COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "ADAM-MEDEFIND",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "OLINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR209658",
        "authorized_official_telephone_number": "209-658-1945",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "J.D"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.