Mercy Health-Regional Medical Center LLC

Key facts

NPI: 1023070802
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: MERCY HEALTH-REGIONAL MEDICAL CENTER LLC
Practice address: 3500 Kolbe Rd
Lorain, OH 44053-1632
Phone: (440) 960-4000
Fax: (440) 960-3359
NPI assigned: Apr 5, 2006
Organization subpart: Yes
Parent organization (as reported): MERCY HEALTH LORAIN LLC

Authorized official

Name: Kimberly M Ralston
Title: System Director
Phone: (419) 996-5119

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Compassus BSMH Lorain HHA LLC Home Health Agency · Lorain, OH · NPI 1699593533

CMS change of ownership Sold to · 2024-04-23

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

Change-of-ownership history

Date	Event	Counterparty
Apr 23, 2024	Change of Ownership This provider was the seller	Mercy Health Home Care Lorain County CCN 367218 · OH · NPI 1699593533

National Provider Directory

Part of: Community Health Partners Regional Health System

Networks

devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
Plans: DEVOTED DUAL FULL 025 PA (HMO D-SNP) (H6852-025-000, H6852); DEVOTED DUAL PLUS 005 PA (HMO D-SNP) (H6852-005-000, H6852); DEVOTED DUAL PLUS 007 PA (HMO D-SNP) (H6852-007-000, H6852); DEVOTED DUAL FULL 026 PA (HMO D-SNP) (H6852-026-000, H6852)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

3500 Kolbe Rd
Lorain, OH 44053-1632

Mailing address

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 960-4000

Other identifiers

Identifier	Type	State	Issuer
0542229	Medicaid	OH

Other names

Mercy Health - Home Care, Lorain County Doing business as
Mercy Home Health Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2022.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1023070802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531611",
            "telephone_number": "440-960-4000",
            "fax_number": "440-960-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531632",
            "telephone_number": "440-960-4000",
            "fax_number": "440-960-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH LORAIN LLC",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0542229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health - Home Care, Lorain County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lorain, OH

All providers in Lorain, OH · Home Health Agency in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.