Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provident Health Care Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1598157604

Provident Health Care Inc is an Intellectual Disabilities Intermediate Care Facility in Ahwahnee, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

42406 Windy Gap Dr
Ahwahnee, CA 93601
Phone: (559) 683-8020
Fax: (209) 722-7087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 3480108 (CA)

Record details

NPI number1598157604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Tiu — Licensee · (209) 723-4888
Other names Provident Health Care Windy Gap
NPI enumeratedFebruary 26, 2015
Last updated in NPPESFebruary 26, 2015
Mailing address1238 Catalina Dr, Merced, CA 95348-9515

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