NPIMap

Organization Active NPI

Mercy Health-Regional Medical Center LLC

  • Community Based Hospice Care Agency
  • Lorain, OH
National Provider Identifier
1124056874
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MERCY HEALTH-REGIONAL MEDICAL CENTER LLC
Practice address
3500 Kolbe Rd
Lorain, OH 44053-1632
Phone
(440) 934-1458
Fax
(440) 960-3359
NPI assigned
Jun 30, 2006
Organization subpart
Yes
Parent organization
MERCY HEALTH LORAIN LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Edwin M. Oley
Title
President & Ceo
Phone
(440) 960-3295

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Change-of-ownership history

DateEventCounterparty
Apr 23, 2024 Change of Ownership
This provider was the seller		 Mercy Health Home Care by Compassus
CCN 361563 · OH · NPI 1063230928

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031124000752 OH Part B Supplier - Clinic/Group Practice 3577471101 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Part of
Community Health Partners Regional Health System

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Inpatient Hospice 315D00000X

Addresses

NPPES NPI Registry

Primary practice location

3500 Kolbe Rd
Lorain, OH 44053-1632

Mailing address

3500 Kolbe Rd
Lorain, OH 44053-1632
Phone (440) 934-1458

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2412197MedicaidOH

Other names 2

NPPES NPI Registry
  • Mercy Health New Life Hospice Doing business as
  • Mercy New Life Hospice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2019.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1124056874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531632",
            "telephone_number": "440-934-1458",
            "fax_number": "440-960-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531632",
            "telephone_number": "440-934-1458",
            "fax_number": "440-960-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH LORAIN LLC",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "OLEY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "440-960-3295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412197",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health New Life Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy New Life Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy New Life Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.