Act of Mercy Home Care Service Inc

Primary specialty

HomemakerTaxonomy code 376J00000X

License

1736333 Issued in LA

Legal business name

ACT OF MERCY HOME CARE SERVICE INC

Practice address

902 Jefferson Terrace
Ste E
New Iberia, LA 70560

Phone

(337) 365-6920

Fax

(866) 281-1438

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By 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

Mrs. Cordelia R Broussard

Title

Assistant Director

Phone

(337) 365-6920

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Act of Mercy Home Care Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Act of Mercy Home Care Service Inc

  • Homemaker
  • New Iberia, LA
  • NPI 1376612077
  NPD tax ID

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285857862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 JEFFERSON TERRACE",
            "address_2": "STE E",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-365-6920",
            "fax_number": "866-281-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 JEFFERSON TERRACE",
            "address_2": "STE E",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-365-6920",
            "fax_number": "866-281-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT OF MERCY HOME CARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "337-365-6920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "LA",
            "license": "1736333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1736333",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Act of Mercy Home Care Service Inc
• Gary Adams Jr., RPH
• Pat Adams, RPH
• Advanced Medical Services of Louisiana LLC
• Ashlea N Alexander, FNP

• Homemaker in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Homemaker in Louisiana

• 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.