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PRODIGY HEALTHCARE, INC.
NPI 1154718401
Clinic/Center - Rehabilitation, Substance Use Disorder in Caruthers, CA

Active since April 23, 2015
1 TILLER AVE., CARUTHERS, CA 93609(559) 892-9452 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prodigy Healthcare, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRODIGY HEALTHCARE, INC. (NPI 1154718401) is a healthcare organization registered as a rehabilitation, substance use disorder in Caruthers, California and active in the NPI registry since April 2015. The organization lists Jagdip Dhanda, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154718401
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePRODIGY HEALTHCARE, INC.
Location Address1 TILLER AVE.Caruthers, CA 93609
Mailing AddressPo Box 820Fowler, CA 93625-0820 · (559) 892-9452
Phone(559) 892-9452
Organization SubpartYes
Authorized OfficialJagdip DhandaCeo · (559) 892-9452
Enumeration DateApril 23, 2015
Last NPPES UpdateMay 5, 2015
✔ NPI 1154718401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1 TILLER AVE., Caruthers, CA 93609
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prodigy Healthcare, Inc.'s NPI number?

The NPI number for Prodigy Healthcare, Inc. is 1154718401. It was assigned to this organization in the NPPES registry on April 23, 2015.

Where is Prodigy Healthcare, Inc. located?

Prodigy Healthcare, Inc. is located at 1 Tiller Ave., Caruthers, CA 93609. The listed phone number is (559) 892-9452.

What is Prodigy Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Prodigy Healthcare, Inc. was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.