NPIMap

Organization Active NPI

Mercy'S Quality Home Care, LLC

  • Home Health Agency
  • Stockbridge, GA
National Provider Identifier
1093040388
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERCY'S QUALITY HOME CARE, LLC
Practice address
120 N Berry St
Suite 101
Stockbridge, GA 30281-1093
Phone
(678) 608-7151
Fax
(678) 289-9256
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Mrs. Mercy A Ekpoudom, REGISTERED NURSE
Title
Administrator
Phone
(678) 608-7151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

120 N Berry St
Suite 101
Stockbridge, GA 30281-1093

Mailing address

120 N Berry St
Suite 101
Stockbridge, GA 30281-3411
Phone (678) 608-7151

Other identifiers 2

IdentifierTypeStateIssuer
003137788AOtherGAMEDICAID PROVDER #
003137789OtherGAMEDICAID PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
Mercy'S Quality Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1093040388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N BERRY ST",
            "address_2": "SUITE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813411",
            "telephone_number": "678-608-7151",
            "fax_number": "678-289-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BERRY ST",
            "address_2": "SUITE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811093",
            "telephone_number": "678-608-7151",
            "fax_number": "678-289-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY'S QUALITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "EKPOUDOM",
        "authorized_official_first_name": "MERCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-608-7151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVDER #",
            "identifier": "003137788A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER #",
            "identifier": "003137789",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.