Mercury Operator, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MERCURY OPERATOR, LLC

Practice address

2 Beaumont Ave
Brockton, MA 02302-3302

Phone

(508) 588-8550

Fax

(508) 587-6262

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Dan Hill

Title

Managing Principal

Phone

(917) 599-1759

Specialties & licenses 1

Addresses

Other names 1

• Brockton Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1306315759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 LIBERTY ST NE STE 390",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013576",
            "telephone_number": "917-599-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BEAUMONT AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023302",
            "telephone_number": "508-588-8550",
            "fax_number": "508-587-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "MANAGING PRINCIPAL",
        "authorized_official_telephone_number": "917-599-1759"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alejandro Y Mendoza, M.D.
• Peggy Mentor, MD
• Mabel Mercedes Estrella
• Vikas Merchia, M.D.
• Cynthia Mercier
• Mercy Human Services & Home Health Care
• N'Jie Meristyl
• Evan Merle, MD
• Tenley Merrett
• Larry Lamont Merritt

• Skilled Nursing Facility in Brockton, MA
• Providers in Brockton, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.