Active NPI
Mercy Care Inc.
- In Home Supportive Care Agency
- Clinton, NC
National Provider Identifier
1154420909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418438 | Medicaid | NC |
Other names 1
- Mercy Care Inc
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2067020 | Mercy Care Inc | Certificate of waiver | Dec 1, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Mercy Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Charlotte, NC
- NPI 1356218473
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.