NPIMap

Organization Active NPI

Mercylodge Healthcare System LLC

  • Home Health Agency
  • Windsor Mill, MD
National Provider Identifier
1295305282
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERCYLODGE HEALTHCARE SYSTEM LLC
Practice address
18 Liberty PL Apt 9
Windsor Mill, MD 21244-2555
Phone
(443) 985-0515
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Adewunmi Racheal AdewoleNPI 1770426850
Title
Administrator
Phone
(443) 985-0515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18 Liberty PL Apt 9
Windsor Mill, MD 21244-2555

Mailing address

18 Liberty PL Apt 9
Windsor Mill, MD 21244-2555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1295305282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LIBERTY PL APT 9",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LIBERTY PL APT 9",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442555",
            "telephone_number": "443-985-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYLODGE HEALTHCARE SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "ADEWOLE",
        "authorized_official_first_name": "ADEWUNMI",
        "authorized_official_middle_name": "RACHEAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-985-0515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.