Active NPI
Mercy Assisted Care, Inc
- Durable Medical Equipment & Medical Supplies
- Janesville, WI
National Provider Identifier
1285960104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MERCY ASSISTED CARE, INC
- Practice address
- 903 Mineral Point Ave
Janesville, WI 53548-2970 - Phone
- (608) 755-7989
- Fax
- (608) 741-6798
- NPI assigned
- Oct 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Todd Anderson
- Title
- VP/Cfo Finance
- Phone
- (815) 971-6738
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | WI | Primary |
Addresses
Primary practice location
903 Mineral Point Ave
Janesville, WI 53548-2970
Mailing address
1010 N. Washington St,
Janesville, WI 53548
Phone (608) 755-7989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100016842 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682467200000",
"number": "1285960104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N. WASHINGTON ST,",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "53548",
"telephone_number": "608-755-7989",
"fax_number": "608-741-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482970",
"telephone_number": "608-755-7989",
"fax_number": "608-741-6798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY ASSISTED CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-28",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "VP/CFO FINANCE",
"authorized_official_telephone_number": "815-971-6738",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100016842",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.