Individual provider Active NPI

Mercy Forlu

  • Home Health Registered Nurse
  • Lanham, MD
National Provider Identifier
1194346239
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R156069 Issued in MD
Practice address
4601 Presidents Dr Ste 232
Lanham, MD 20706-4870
Phone
(202) 359-9725
Fax
(301) 441-2360
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN967341 DC
Home Health Registered Nurse 163WH0200X R156069 MD Primary

Addresses

Primary practice location

4601 Presidents Dr Ste 232
Lanham, MD 20706-4870

Mailing address

4601 Presidents Dr Ste 232
Lanham, MD 20706-4870
Phone (202) 359-9725

Other identifiers 1

IdentifierTypeStateIssuer
F-640-599-631-567OtherMDDRIVER'S LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN967341DCMDRegistered Nurse
R156069MDMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grace and Mercy Health Services. CurrentSince May 1, 2020 Accepting new patients

Locations

6475 New Hampshire Ave
Ste 410
Hyattsville, MD 20783
Phone (240) 643-5232

4601 Presidents Dr
Ste 232
Lanham, MD 20706
Phone (202) 359-9725

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1194346239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PRESIDENTS DR STE 232",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064870",
            "telephone_number": "202-359-9725",
            "fax_number": "301-441-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PRESIDENTS DR STE 232",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064870",
            "telephone_number": "202-359-9725",
            "fax_number": "301-441-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORLU",
        "first_name": "MERCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2023-08-01",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN967341",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R156069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "F-640-599-631-567",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.