Merci Healthcare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MERCI HEALTHCARE SERVICES LLC

Practice address

113 Village PL
Newnan, GA 30265-5708

Phone

(706) 332-8175

NPI assigned

Dec 19, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Karena Speller Diyombi, RNNPI 1689236838

Title

Administrator

Phone

(706) 332-8175

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karena Speller Diyombi, RN

  • Registered Nurse
  • Newnan, GA
  • NPI 1689236838
  NPD Authorized official

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608336000000",
    "number": "1083200497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 VILLAGE PL",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655708",
            "telephone_number": "706-332-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 VILLAGE PL",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655708",
            "telephone_number": "706-332-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCI HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A",
        "authorized_official_last_name": "DIYOMBI",
        "authorized_official_first_name": "KARENA",
        "authorized_official_middle_name": "SPELLER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-332-8175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOMECARE PROVIDER PERMIT",
            "identifier": "PHCP010909",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Newnan, GA
• Providers in Newnan, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.