Organization Active NPI

House of Mercy, Inc.

  • Adult Care Home Facility
  • Belmont, NC
National Provider Identifier
1205912201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL036004 Issued in NC
Legal business name
HOUSE OF MERCY, INC.
Practice address
701 Mercy Drive
Belmont, NC 28012-0808
Phone
(704) 825-4711
Fax
(704) 825-9976
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stanley Forrest Patterson
Title
President/Ceo
Phone
(704) 825-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL036004 NC Primary

Addresses

Primary practice location

701 Mercy Drive
Belmont, NC 28012-0808

Mailing address

701 Mercy Drive
Belmont, NC 28012-0808
Phone (704) 825-4711

Other identifiers 2

IdentifierTypeStateIssuer
7802501MedicaidNC
8700219MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205912201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MERCY DRIVE",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120808",
            "telephone_number": "704-825-4711",
            "fax_number": "704-825-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MERCY DRIVE",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120808",
            "telephone_number": "704-825-4711",
            "fax_number": "704-825-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF MERCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-825-4711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL036004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802501",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700219",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

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.

Verify at the official NPI Registry.