Mercy Outpatient Services, Inc.

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

4474 Issued in FL

Legal business name

MERCY OUTPATIENT SERVICES, INC.

Doing business as

Sister Emmanuel Hospital for Continuing Care

Practice address

3663 S Miami Ave
4TH Floor
Miami, FL 33133-4253

Phone

(305) 285-2939

Fax

(305) 285-5042

NPI assigned

Jun 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shedrick BorenNPI 1720189913

Title

Administrator

Phone

(305) 285-2939

Specialties & licenses 1

Addresses

Other names 1

• Sister Emmanuel Hospital for Continuing Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shedrick John Boren, LCSW

  • Clinical Social Worker
  • Miami, FL
  • NPI 1720189913
  NPD (past) Authorized official

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093750473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "address_2": "4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-285-2939",
            "fax_number": "305-285-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "address_2": "4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-285-2939",
            "fax_number": "305-285-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY OUTPATIENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "SHEDRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-285-2939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "FL",
            "license": "4474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sister Emmanuel Hospital for Continuing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Hospital, Inc.
• Mercy Hospital, Inc.
• Mercy Medical Development Inc (Mercy Outpatient Center)
• Mercy Miami Inpatient Services LLC
• Mercy Outpatient Rehabilitation Clinic Inc
• Mercy Physician Group Inc
• Diana Merdjane, ARNP
• Sierra Meredith, DPT
• Dmitry Merekin, M.D.
• Amedeo Merenda, M.D.

• Long Term Care Hospital in Miami, FL
• Providers in Miami, FL by specialty
• Long Term Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.