Merced Convalescent Hospital, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MERCED CONVALESCENT HOSPITAL, INC.

Doing business as

Merced Living Care Center

Practice address

510 West 26TH Street
Madera, CA 93638-3343

Phone

(209) 723-2911

Fax

(209) 383-7218

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arden Bennett

Title

Ceo

Phone

(559) 673-5149

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Merced Living Care Center Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265544266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 E YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383343",
            "telephone_number": "559-673-5149",
            "fax_number": "559-673-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WEST 26TH STREET",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383343",
            "telephone_number": "209-723-2911",
            "fax_number": "209-383-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED CONVALESCENT HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ARDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-673-5149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05249F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced Living Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Ivette Mendoza
• Tula Maria Mendoza, PHN
• Hannah B Mendrin, CCLS
• Irma Ruiz Meraz
• Yvonne Yvette Mercado, RN,PHN
• Lynne Ann Meridith
• Jenifer Merino
• Andrea Capati Martinez Merodio, DO
• Daniel Merrill, DO
• Giselle Damaly Mesa-Rodriguez

• Skilled Nursing Facility in Madera, CA
• Providers in Madera, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.