PROVIDENT HEALTH CARE WINDY GAP
NPI 1598157604
Intermediate Care Facility, Intellectual Disabilities in Ahwahnee, CA

Q: What is Provident Health Care Inc.'s NPI number?

The NPI number for Provident Health Care Inc. is 1598157604. It was assigned to this organization in the NPPES registry on February 26, 2015. The provider is doing business as Provident Health Care Windy Gap.

Q: What is Provident Health Care Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since February 26, 2015

42406 WINDY GAP DR, AHWAHNEE, CA 93601(559) 683-8020(209) 722-7087 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Provident Health Care Windy Gap NPPES

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

PROVIDENT HEALTH CARE WINDY GAP (NPI 1598157604) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ahwahnee, California and active in the NPI registry since February 2015. The organization lists Jerry Tiu, Licensee, as its authorized official.

NPPES Registry Identity

NPI1598157604

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NamePROVIDENT HEALTH CARE INC.

Location Address42406 WINDY GAP DRAhwahnee, CA 93601

Mailing Address1238 Catalina DrMerced, CA 95348-9515 · (209) 723-4888 · Fax (209) 722-7087

Phone(559) 683-8020

Fax(209) 722-7087

Organization SubpartNo

Authorized OfficialJerry TiuLicensee · (209) 723-4888

Enumeration DateFebruary 26, 2015

✔ NPI 1598157604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in CA · 3480108

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

42406 WINDY GAP DR, Ahwahnee, CA 93601

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Other Names 1

Doing Business AsProvident Health Care Windy Gap

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 Provident Health Care Inc.'s NPI number?

The NPI number for Provident Health Care Inc. is 1598157604. It was assigned to this organization in the NPPES registry on February 26, 2015. The provider is doing business as Provident Health Care Windy Gap.

Where is Provident Health Care Inc. located?

Provident Health Care Inc. is located at 42406 Windy Gap Dr, Ahwahnee, CA 93601. The listed phone number is (559) 683-8020.

What is Provident Health Care Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Provident Health Care Inc. was last updated on February 26, 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.