NPIMap

Organization Active NPI

Mercy Staffing Agency

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1134800055
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
MERCY STAFFING AGENCY
Practice address
4406 Reverend Davis Dr
Upper Marlboro, MD 20772-6977
Phone
(240) 353-8509
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Oluwaseun Y OkunorenNPI 1740960715
Title
Manager
Phone
(240) 353-8509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0200X
Adult CompanionGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372600000X
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary
Nurse's AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

4406 Reverend Davis Dr
Upper Marlboro, MD 20772-6977

Mailing address

4406 Reverend Davis Dr
Upper Marlboro, MD 20772-6977
Phone (240) 353-8509

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1134800055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 REVEREND DAVIS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726977",
            "telephone_number": "240-353-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 REVEREND DAVIS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726977",
            "telephone_number": "240-353-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY STAFFING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "OKUNOREN",
        "authorized_official_first_name": "OLUWASEUN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-353-8509"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.