Organization Active NPI

Mercy Health - Clermont Hospital LLC

Doing business as Mercy Home Care

  • Home Health Agency
  • Cincinnati, OH
National Provider Identifier
1215932637
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
OHIO DOESN'T REQUIRE Issued in OH
Legal business name
MERCY HEALTH - CLERMONT HOSPITAL LLC
Doing business as
Mercy Home Care
Practice address
4370 Glendale Milford Rd
Cincinnati, OH 45242-3706
Phone
(513) 981-4504
Fax
(513) 981-4597
NPI assigned
Jun 14, 2005
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Ms. Susan Siebenthaler
Title
Business Operations Manager
Phone
(513) 981-4504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OHIO DOESN'T REQUIRE OH Primary

Addresses

Primary practice location

4370 Glendale Milford Rd
Cincinnati, OH 45242-3706

Mailing address

4370 Glendale Milford Rd
Cincinnati, OH 45242-3706
Phone (513) 981-4504

Other identifiers 3

IdentifierTypeStateIssuer
0960965MedicaidOH
000000003146OtherOHANTHEM
0960965OtherOHBUCKEYE COMMUNITY HEALTH

Other names 2

  • Mercy Home Care Doing business as
  • Mercy Home Health Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Clermont Mercy HSP8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4370 Glendale Milford Rd
Blue Ash, OH 45242
Phone (513) 981-4500

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1215932637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 GLENDALE MILFORD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423706",
            "telephone_number": "513-981-4504",
            "fax_number": "513-981-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 GLENDALE MILFORD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423706",
            "telephone_number": "513-981-4504",
            "fax_number": "513-981-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH - CLERMONT HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "SIEBENTHALER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
        "authorized_official_telephone_number": "513-981-4504",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "OHIO DOESN'T REQUIRE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0960965",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000003146",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH",
            "identifier": "0960965",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Home Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.