Mercy Life, Incorporated

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

MERCY LIFE, INCORPORATED

Practice address

2112 Riverdale St
West Springfield, MA 01089-1024

Phone

(413) 539-2917

NPI assigned

Feb 10, 2012

Organization subpart

Yes

Parent organization

SISTERS OF PROVIDENCE HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Mr. Christopher McLaughlin

Title

Chief Operating Officer

Phone

(413) 539-2917

Specialties & licenses 1

Addresses

Other names 1

• Mercy LIFE Doing business as

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1104199850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891024",
            "telephone_number": "413-539-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY LIFE, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF PROVIDENCE HEALTH SYSTEM",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "413-539-2917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystle Marie Melanson, MA
• Wilfredo Nicholas Melendez
• Natalya P Melnik
• Cameron Austin Menard, OTR/L
• Moryn Mendoza, CLC
• Katelyn Messier, M.A. INTERN
• Lindsay Messina, PA-C
• Brianna Metellus
• Natasha Ann Metley
• Joshua Miarecki

• PACE Provider Organization in West Springfield, MA
• Providers in West Springfield, MA by specialty
• PACE Provider Organization in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.