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PROVIDENT HEALTH CARE INC
NPI 1912718016
Intermediate Care Facility, Intellectual Disabilities in Atwater, CA

Active since January 17, 2025
1553 TAMARACK AVE, ATWATER, CA 95301(209) 388-1002(209) 388-1007 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provident Health Care Inc NPPES

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

PROVIDENT HEALTH CARE INC (NPI 1912718016), doing business as Provident Tamarack, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Atwater, California and active in the NPI registry since January 2025. The organization lists Jerry Tiu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912718016
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePROVIDENT HEALTH CARE INC
Location Address1553 TAMARACK AVEAtwater, CA 95301-2743
Mailing Address1238 Catalina DrMerced, CA 95348-9515 · (209) 388-1002 · Fax (209) 388-1007
Phone(209) 388-1002
Fax(209) 388-1007
Organization SubpartNo
Authorized OfficialJerry TiuCeo · (209) 388-1002
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1912718016 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
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1553 TAMARACK AVE, Atwater, CA 95301
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Other Names 1

Doing Business AsProvident Tamarack

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STRATTON'S RESIDENTIAL CARE
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1553 TAMARACK AVE
ATWATER, CA 95301
Merced County (209) 357-2212
PROVIDENT HEALTH CARE INC
Intermediate Care Facility, Intellectual Disabilities
1553 TAMARACK AVE
ATWATER, CA 95301
Merced County (209) 357-2212

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 1912718016. It was assigned to this organization in the NPPES registry on January 17, 2025. The provider is doing business as Provident Tamarack.

Where is Provident Health Care Inc located?

Provident Health Care Inc is located at 1553 Tamarack Ave, Atwater, CA 95301. The listed phone number is (209) 388-1002.

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 January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.