MERIDIAN HEALTH CARE SERVICES, INC. (NPI# 1043614779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043614779 |
| Entity Type | Organization |
| Organization Name | MERIDIAN HEALTH CARE SERVICES, INC. |
| Other Organization Name | SAINT JUDE MANOR |
| Practice Address |
2236 N 1st St Fresno CA 93703-2303 |
| Practice Telephone | 5594853286 |
| Practice Fax Number | 5594521536 |
| Mailing Telephone | 5594853286 |
| Mailing Fax Number | 5594521536 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | MRS. ERLINDA ARCUINO JAMILI (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 5599992030 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Saint Jude Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669701223 | Meridian Health Care Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5294 E Heaton Ave, Fresno, CA 93727-5927 | 2009-12-10 |
| 1487703302 | Meridian Health Care Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5180 E Balch Ave, Fresno, CA 93727-3909 | 2007-01-09 |
| Street Address |
2236 N 1ST ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417408691 | C&j Healthcare Services LLC | Intermediate Care Facility, Mentally Retarded | 3018 Hurst Green Ln, Fresno, TX 77545-1405 | 2016-10-21 |
| 1942527023 | Harmony Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 5288 W Ramona, Fresno, CA 93722 | 2010-04-28 |
| 1679890750 | Harmony Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 1034 W. Mesa Ave., Fresno, CA 93711 | 2010-04-28 |
| 1669701223 | Meridian Health Care Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5294 E Heaton Ave, Fresno, CA 93727-5927 | 2009-12-10 |
| 1912190703 | Pacific Care Homes 2 | Intermediate Care Facility, Mentally Retarded | 4458 N Charles Ave, Fresno, CA 93722-4109 | 2007-08-24 |
| 1184835712 | New Beginnings | Intermediate Care Facility, Mentally Retarded | 7053 N Carnegie Ave, Fresno, CA 93722-2817 | 2007-05-25 |
| 1821208752 | New Beginnings | Intermediate Care Facility, Mentally Retarded | 5704 N Wheeler Ave, Fresno, CA 93722-2541 | 2007-05-22 |
| 1366658726 | Loyd's Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 6062 N Knoll Ave, Fresno, CA 93711-6512 | 2007-05-15 |
| 1275749632 | Loyd's Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 5288 W Ramona Ave, Fresno, CA 93722-7132 | 2007-05-15 |
| 1811103278 | Loyds Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 5493 N Feland Ave, Fresno, CA 93711-2128 | 2007-05-15 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.