Organization Active NPI

Mercy Hospital Oklahoma City, Inc.

  • Home Health Agency
  • Ada, OK
National Provider Identifier
1043592041
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERCY HOSPITAL OKLAHOMA CITY, INC.
Practice address
530 N Monte Vista St
Suite B
Ada, OK 74820-4675
Phone
(405) 282-9406
NPI assigned
Sep 15, 2011
Organization subpart
Yes
Parent organization
MERCY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Tracy P Enloe
Title
Cfo
Phone
(405) 752-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

530 N Monte Vista St
Suite B
Ada, OK 74820-4675

Mailing address

530 N Monte Vista St
Suite B
Ada, OK 74820-4675
Phone (405) 282-9406

Other names 1

  • Mercy at Home Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Health Canadian C

Locations

530 N Monte Vista St
Ste B
Ada, OK 74820
Phone (580) 272-0922

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1043592041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MONTE VISTA ST",
            "address_2": "SUITE B",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204675",
            "telephone_number": "405-282-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MONTE VISTA ST",
            "address_2": "SUITE B",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204675",
            "telephone_number": "405-282-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL OKLAHOMA CITY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH CENTER, INC",
        "enumeration_date": "2011-09-15",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "ENLOE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-752-3161"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.