Merced Home, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

060000434 Issued in CA

Legal business name

MERCED HOME, INC

Practice address

11451 True Way
Garden Grove, CA 92840-2330

Phone

(714) 583-8572

Fax

(714) 761-1747

NPI assigned

Jun 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Reynalda Merced

Title

Chief Executive Officer

Phone

(562) 714-7363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G980

Legal name

MERCED HOME ICF/DDH

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

May 30, 1996

Last certification

Nov 6, 2025

Beds

6

Ownership / control type

Private (proprietary)

Most recent change of ownership

Jun 13, 2012

Facility address

11451 True Way
Garden Grove, CA 92840

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1730473109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12446 SUMMERWIND ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038328",
            "telephone_number": "562-716-5958",
            "fax_number": "562-402-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11451 TRUE WAY",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402330",
            "telephone_number": "714-583-8572",
            "fax_number": "714-761-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "MERCED",
        "authorized_official_first_name": "REYNALDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-714-7363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "060000434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Mercado
• Dorothy Nauta Mercado
• Isela Mercado
• Jadynn M Mercado
• Madyson Mercado
• Alisha N Merchant
• Joselyn Tamara Merida
• Laura Merino
• Dustin Andrew Mesa
• Victor M Mettler, CAADAC

• Intellectual Disabilities Intermediate Care Facility in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.

Verify at the official NPI Registry.