Mercy Health - Willard Hospital LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MERCY HEALTH - WILLARD HOSPITAL LLC

Doing business as

Mercy Home Care

Practice address

2459 W Market St
Tiffin, OH 44883-8822

Phone

(419) 443-8030

Fax

(419) 443-8031

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lynn Detterman

Title

Cfo

Phone

(419) 964-5212

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mercy Home Care Doing business as

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1093725418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E HOWARD ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901611",
            "telephone_number": "419-964-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838822",
            "telephone_number": "419-443-8030",
            "fax_number": "419-443-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH - WILLARD HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "DETTERMAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-964-5212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "375148",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0954490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gina Miccinilli
• Michael G Scherer DO Inc
• Midwest Emergency Management Ohio, Inc

• Home Health Agency in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.