County of Mercer Hospital

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2001832 Issued in IL

Legal business name

COUNTY OF MERCER HOSPITAL

Doing business as

Serenity Hospice

Practice address

409 NW 9TH Ave
Aledo, IL 61231-1258

Phone

(309) 582-5301

NPI assigned

Nov 1, 2005

Last updated

May 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marjie Earl

Title

Manager

Phone

(309) 582-5301

Specialties & licenses 1

Addresses

Other names 1

• Serenity Hospice Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Mercer

  dba Mercer County Health Department

  • Public Health or Welfare Agency
  • Aledo, IL
  • NPI 1205829827

  Member Of

  NPD member

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1285625012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NW 9TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311258",
            "fax_number": "309-582-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NW 9TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311258",
            "telephone_number": "309-582-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MERCER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "MARJIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-582-5301"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2001832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Edward Comer, PTA
• County of Mercer (Mercer County Health Department)
• County of Mercer (Mercer County Probation)
• County of Mercer Hospital
• County of Mercer Hospital (Medical Associates Clinic)
• County of Mercer Hospital (Mercer County Hospital)
• County of Mercer Hospital
• County of Mercer Hospital (Mercer County Speciality Clinic)
• Kurt Doyle, LCSW
• DRS. Distin & Doyle, Optometrists

• Community Based Hospice Care Agency in Aledo, IL
• Providers in Aledo, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.