Active NPI
Mercy Services, LLC
Doing business as Legacy Caregiving
- In Home Supportive Care Agency
- Indianapolis, IN
National Provider Identifier
1083215305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MERCY SERVICES, LLC
- Doing business as
- Legacy Caregiving
- Practice address
- 4855 S Emerson Ave Ste 202
Indianapolis, IN 46203-6931 - Phone
- (317) 374-2593
- Fax
- (317) 981-1985
- NPI assigned
- Nov 3, 2020
- Last updated
- Jun 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Baise
- Title
- Administrator
- Phone
- (317) 374-2593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4855 S Emerson Ave Ste 202
Indianapolis, IN 46203-6931
Mailing address
4855 S Emerson Ave Ste 202
Indianapolis, IN 46203-6931
Phone (317) 374-2593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300027988 | Medicaid | IN |
Other names 1
- Legacy Caregiving
National Provider Directory
National Provider DirectoryLocations
3960 Southeastern Ave
Ste 113
Indianapolis, IN 46203
4855 S Emerson Ave
Ste 202
Indianapolis, IN 46203
Phone (317) 374-2593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1083215305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 S EMERSON AVE STE 202",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462036931",
"telephone_number": "317-374-2593",
"fax_number": "317-981-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 S EMERSON AVE STE 202",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462036931",
"telephone_number": "317-374-2593",
"fax_number": "317-981-1985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-03",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "BAISE",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "317-374-2593"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300027988",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Caregiving",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Legacy Caregiving",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.