Organization Active NPI

Mercy Care Inc.

  • In Home Supportive Care Agency
  • Clinton, NC
National Provider Identifier
1154420909
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MERCY CARE INC.
Doing business as
Mercy Care Inc
Practice address
415 Warsaw Rd Ste B
Clinton, NC 28328-3550
Phone
(910) 385-6559
Fax
(910) 592-4728
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Mrs. Sonja Marie Whitted
Title
Executive Director/Owner
Phone
(910) 385-6559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

415 Warsaw Rd Ste B
Clinton, NC 28328-3550

Mailing address

218 Moore St
Clinton, NC 28328-3208
Phone (910) 385-6559

Other practice location 1

508 Royal Ln
Clinton, NC 28328-3238
Phone (910) 385-6559

Other practice location 2

705 W Elizabeth St
Clinton, NC 28328-4835
Phone (910) 385-6559

Other identifiers 1

IdentifierTypeStateIssuer
3418438MedicaidNC

Other names 1

  • Mercy Care Inc Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2067020Mercy Care Inc508 Royal Lane, Clinton, NC 28328Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mercy Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

415 Warsaw Rd
#B
Clinton, NC 28328
Phone (910) 385-6559

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1154420909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MOORE ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283208",
            "telephone_number": "910-385-6559",
            "fax_number": "910-590-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WARSAW RD STE B",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283550",
            "telephone_number": "910-385-6559",
            "fax_number": "910-592-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Royal Ln",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283283238",
            "country_code": "US",
            "telephone_number": "910-385-6559",
            "fax_number": "910-592-4728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 W Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283284835",
            "country_code": "US",
            "telephone_number": "910-385-6559",
            "fax_number": "910-592-4728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "WHITTED",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-385-6559",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418438",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Care Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.