Mercury Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MERCURY HOME CARE

Practice address

225 Creekstone RDG
Woodstock, GA 30188-3744

Phone

(678) 404-0060

NPI assigned

Oct 13, 2023

Organization subpart

Yes

Parent organization

MERCURY HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Justina Vasquez, RNNPI 1417565623

Title

SVP of Clinical Affairs

Phone

(678) 404-0060

Specialties & licenses 1

Addresses

Part of

Mercury Healthcare LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mercury Healthcare LLC

  • Home Health Agency
  • Woodstock, GA
  • NPI 1487262655
  NPPES parent name

Practitioners 1

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

• Justina Louise Vasquez, RN

  • Case Management Registered Nurse
  • Woodstock, GA
  • NPI 1417565623
  NPD Authorized official

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1184406233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883744",
            "telephone_number": "678-404-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883744",
            "telephone_number": "678-404-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCURY HEALTHCARE LLC",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "JUSTINA",
        "authorized_official_title_or_position": "SVP OF CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "678-404-0060",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Matters LLC
• Noreen A Mercando, D.O.
• Alexander John Mercer, M.D.
• Merciful O&P LLC
• Mercury Healthcare LLC
• Meredith Burns, Psy.D., P.C.
• Kimberly Meredith, LAPC
• Raymond Mertel, PHARM D
• Michael F Pratt, MD, PC
• Stella Michael-Makri, PH.D., LPC

• In Home Supportive Care Agency in Woodstock, GA
• Providers in Woodstock, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.