Mercy Board and Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MERCY BOARD AND CARE INC

Practice address

11545 Doverwood Dr
Riverside, CA 92505-4831

Phone

(951) 847-8543

Fax

(515) 473-3653

NPI assigned

Feb 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maher M Ismail

Title

Administrator

Phone

(951) 847-8543

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1033701990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 DOVERWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925054831",
            "telephone_number": "951-847-8543",
            "fax_number": "515-473-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 DOVERWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925054831",
            "telephone_number": "951-847-8543",
            "fax_number": "515-473-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY BOARD AND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-847-8543"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Mercado
• Nathan Mercado, MD
• Valerie Mercado
• Felicitas Enoveso Shorter Merced
• Krystle Merced
• Alicia Meredith, LCSW
• Ivon Ninette Merida
• Elizabeth Ann Merrell
• Craig Richard Merrihew, DDS
• Patrick J. Merrill, MD

• Assisted Living Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.