Active NPI
Mercedes Melgarejo, RN
- Registered Nurse
- Lombard, IL
National Provider Identifier
1265169353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041525016
- Practice address
- 450 E 22ND St Ste 217
Lombard, IL 60148-6176 - Phone
- (630) 519-4744
- Fax
- (630) 317-7870
- NPI assigned
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041525016 | IL | Primary |
Addresses
Primary practice location
450 E 22ND St Ste 217
Lombard, IL 60148-6176
Mailing address
450 E 22ND St Ste 217
Lombard, IL 60148-6176
Phone (630) 519-4744
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041525016 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humanity Home Health, LLC | Current | Accepting new patients |
Locations
450 E 22nd St
Ste 217
Lombard, IL 60148
Phone (630) 519-4744
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.
-
- Home Health Agency
- Lombard, IL
- NPI 1265784276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1265169353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E 22ND ST STE 217",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486176",
"telephone_number": "630-519-4744",
"fax_number": "630-317-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 22ND ST STE 217",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486176",
"telephone_number": "630-519-4744",
"fax_number": "630-317-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELGAREJO",
"first_name": "MERCEDES",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041525016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.