Mercy Healthcare

Key facts

NPI

1295064467

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

Legal business name

MERCY HEALTHCARE

Practice address

4411 Washington Ave
Evansville, IN 47714-0890

Phone

(812) 475-1948

Fax

(812) 401-1267

NPI assigned

Dec 16, 2009

Organization subpart

No

Authorized official

Name

Lotfi Hadad, M.D.

Title

Owner

Phone

(812) 475-1948

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 16, 2009.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1295064467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 E COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159133",
            "telephone_number": "812-475-1948",
            "fax_number": "812-401-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140890",
            "telephone_number": "812-475-1948",
            "fax_number": "812-401-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "HADAD",
        "authorized_official_first_name": "LOTFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-475-1948",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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