Active NPI
Mercy Health Services
- Pediatric Skilled Nursing Facility
- Upper Marlboro, MD
National Provider Identifier
1154075067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- Legal business name
- MERCY HEALTH SERVICES
- Practice address
- 52 Joyceton Way
Upper Marlboro, MD 20774-1400 - Phone
- (130) 171-7983
- NPI assigned
- Feb 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Jalloh, ADMINISTRATOR
- Title
- RN/Director of Nursing
- Phone
- (240) 606-1421
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | Primary |
Addresses
Primary practice location
52 Joyceton Way
Upper Marlboro, MD 20774-1400
Mailing address
52 Joyceton Way
Upper Marlboro, MD 20774-1400
Phone (130) 171-7983
National Provider Directory
National Provider Directory- Tax ID family
- Mercy Health Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chore Provider
- Upper Marlboro, MD
- NPI 1780915868
Interoperability endpoints
- https://epicproxy.et0876.epichosted.com/FHIRProxyPRD/api/FHIR/R4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Upper Marlboro, MD
- NPI 1316763444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1154075067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 JOYCETON WAY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741400",
"telephone_number": "130-171-7983",
"fax_number": "571-378-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 JOYCETON WAY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741400",
"telephone_number": "130-171-7983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A",
"authorized_official_last_name": "JALLOH",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "RN/DIRECTOR OF NURSING",
"authorized_official_telephone_number": "240-606-1421",
"authorized_official_credential": "ADMINISTRATOR"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 9, 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.