Active NPI
Meridian Health Care Services, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Fresno, CA
National Provider Identifier
1669701223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 550001033
- Legal business name
- MERIDIAN HEALTH CARE SERVICES, INC.
- Practice address
- 5294 E Heaton Ave
Fresno, CA 93727-5927 - Phone
- (559) 252-5856
- Fax
- (559) 452-1536
- NPI assigned
- Dec 10, 2009
- 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 | 550001033 | CA | Primary |
Addresses
Primary practice location
5294 E Heaton Ave
Fresno, CA 93727-5927
Mailing address
5294 E Heaton Ave
Fresno, CA 93727-5927
Phone (559) 252-5856
Other names 1
- Saint Clare Home
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 55G631
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 CLARE HOME
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jul 22, 2009
- Last certification
- Dec 24, 2024
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 5294 E Heaton
Fresno, CA 93727
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 1043614779
-
- Intellectual Disabilities Intermediate Care Facility
- Fresno, CA
- NPI 1487703302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260403200000",
"number": "1669701223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5294 E HEATON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937275927",
"telephone_number": "559-252-5856",
"fax_number": "559-452-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5294 E HEATON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937275927",
"telephone_number": "559-252-5856",
"fax_number": "559-452-1536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HEALTH CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"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": "CA",
"license": "550001033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Saint Clare Home",
"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 Dec 10, 2009; 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.