Active NPI
Mercy Community Homecare Services, Inc
- Home Health Agency
- West Hartford, CT
National Provider Identifier
1154317048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- C9815005
- Legal business name
- MERCY COMMUNITY HOMECARE SERVICES, INC
- Practice address
- 2021 Albany Avenue
West Hartford, CT 06117 - Phone
- (860) 586-8318
- Fax
- (860) 586-8418
- NPI assigned
- Sep 26, 2005
- 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
- Steven D Beaulieu, CPA
- Title
- Treasurer
- Phone
- (860) 570-8304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | C9815005 | CT | Primary |
Addresses
Primary practice location
2021 Albany Avenue
West Hartford, CT 06117
Mailing address
275 Steele Road
West Hartford, CT 06117-2755
Phone (860) 586-8318
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004188274 | Medicaid | CT | |
| 4113776 | Other | CT | CCCI |
| 044188274 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
275 Steele Rd
West Hartford, CT 06117
Phone (860) 570-8200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- West Hartford, CT
- NPI 1962479303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276732800000",
"number": "1154317048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 STEELE ROAD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172755",
"telephone_number": "860-586-8318",
"fax_number": "860-586-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 ALBANY AVENUE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "06117",
"telephone_number": "860-586-8318",
"fax_number": "860-586-8418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY COMMUNITY HOMECARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2010-06-17",
"status": "A",
"authorized_official_last_name": "BEAULIEU",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "860-570-8304",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CT",
"license": "C9815005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004188274",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCCI",
"identifier": "4113776",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044188274",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.