Active NPI
St James Mercy Health
Doing business as Mercycare
- Skilled Nursing Facility
- Hornell, NY
National Provider Identifier
1205803889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5002001H
- Legal business name
- ST JAMES MERCY HEALTH
- Doing business as
- Mercycare
- Practice address
- 1 Bethesda Dr
Hornell, NY 14843-1048 - Phone
- (607) 324-8000
- Fax
- (607) 324-8198
- NPI assigned
- Mar 2, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. David C Capone
- Title
- VP/Chief Financial Officer
- Phone
- (607) 324-8113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5002001H | NY | Primary |
Addresses
Primary practice location
1 Bethesda Dr
Hornell, NY 14843-1048
Mailing address
411 Canisteo St
Hornell, NY 14843-2104
Phone (607) 324-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01081754 | Medicaid | NY |
Other names 1
- Mercycare
National Provider Directory
National Provider Directory- Tax ID family
- 1 Bethesda Drive Operating Company LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Elderwood at Hornell
- Skilled Nursing Facility
- Hornell, NY
- NPI 1093101743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205803889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 CANISTEO ST",
"city": "HORNELL",
"state": "NY",
"postal_code": "148432104",
"telephone_number": "607-324-8000",
"fax_number": "607-324-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BETHESDA DR",
"city": "HORNELL",
"state": "NY",
"postal_code": "148431048",
"telephone_number": "607-324-8000",
"fax_number": "607-324-8198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JAMES MERCY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAPONE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP/CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "607-324-8113",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "5002001H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01081754",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercycare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hornell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.