Organization Active NPI

Mercy Health & Rehabilitation Center Nursing Home Company Inc

  • Skilled Nursing Facility
  • Auburn, NY
National Provider Identifier
1073507729
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0501308N Issued in NY
Legal business name
MERCY HEALTH & REHABILITATION CENTER NURSING HOME COMPANY INC
Practice address
3 Saint Anthony St
Auburn, NY 13021-4525
Phone
(315) 253-0351
Fax
(315) 258-8010
NPI assigned
Sep 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Diane Donnelly
Title
Cfo
Phone
(315) 253-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0501308N NY Primary

Addresses

Primary practice location

3 Saint Anthony St
Auburn, NY 13021-4525

Mailing address

3 Saint Anthony St
Auburn, NY 13021-4525
Phone (315) 253-0351

Other identifiers 1

IdentifierTypeStateIssuer
0501308NMedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1073507729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAINT ANTHONY ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214525",
            "telephone_number": "315-253-0351",
            "fax_number": "315-258-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT ANTHONY ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214525",
            "telephone_number": "315-253-0351",
            "fax_number": "315-258-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH & REHABILITATION CENTER NURSING HOME COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-253-0351"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0501308N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0501308N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.