NPIMap

Organization Active NPI

Mercy Health Youngstown LLC

Doing business as Mercy Health Home Infusion-Youngsto

  • Home Infusion Therapy Pharmacy
  • Girard, OH
National Provider Identifier
1306938345
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
02-0945950 Issued in OH
Legal business name
MERCY HEALTH YOUNGSTOWN LLC
Doing business as
Mercy Health Home Infusion-Youngsto
Practice address
979 Tibbetts Wick Rd
Suite a
Girard, OH 44420-1182
Phone
(330) 480-3682
Fax
(330) 480-2750
NPI assigned
Sep 28, 2006
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Rebecca Baytos
Title
Director
Phone
(330) 480-4598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 02-0945950 OH Primary

Addresses

Primary practice location

979 Tibbetts Wick Rd
Suite a
Girard, OH 44420-1182

Mailing address

PO Box 207
Youngstown, OH 44501-0207
Phone (330) 480-3682

Other identifiers 1

IdentifierTypeStateIssuer
0287158MedicaidOH

Other names 1

  • MERCY HEALTH HOME INFUSION-YOUNGSTO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930005000 OH DME Supplier - Pharmacy 7517860489 Practice locations: Girard, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mercy Health Youngstown, LLC979 Tibbetts Wick Rd, Girard, OH 44420-1182(330) 480-4599 Epoetin|Infusion Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
HM Health Services SE28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Health Rehabilitation HospitalYoungstown, OH, CCN 363049 Hospital 5% Or Greater Direct Ownership Interest (50%) Nov 19, 2024
Bon Secours Home HealthRichmond, VA, CCN 497026C Home health agency 5% Or Greater Indirect Ownership Interest (14.24%) May 1, 2024
Mercy Health - Home Care PaducahPaducah, KY, CCN 187100 Home health agency 5% Or Greater Indirect Ownership Interest (14.24%) Apr 23, 2024
Mercy Health Home Health LimaLima, OH, CCN 367417 Home health agency 5% Or Greater Indirect Ownership Interest (14.24%) Apr 23, 2024
Mercy Health Home Care by CompassusTiffin, OH, CCN 367523 Home health agency 5% Or Greater Indirect Ownership Interest (14.24%) Apr 23, 2024
Mercy Health Home Care Lorain CountyLorain, OH, CCN 367218 Home health agency 5% Or Greater Indirect Ownership Interest (14.24%) Apr 23, 2024
Bon Secours Home Care by CompassusSun City Center, FL, CCN 109645 Home health agency 5% Or Greater Indirect Ownership Interest (14.24%) Jul 1, 2024
Bon Secours Hospice and Palliative CareRichmond, VA, CCN 491514 Hospice 5% Or Greater Indirect Ownership Interest (14.24%) May 1, 2024
Mercy Health - Hospice, LimaLima, OH, CCN 361543 Hospice 5% Or Greater Indirect Ownership Interest (14.24%) Apr 23, 2024
Mercy Health Hospice by CompassusMetropolis, IL, CCN 141548 Hospice 5% Or Greater Indirect Ownership Interest (14.24%) Apr 23, 2024
Mercy Health Home Care by CompassusLorain, OH, CCN 361563 Hospice 5% Or Greater Indirect Ownership Interest (15.29%) Apr 23, 2024
Mercy Health- Hospice PaducahPaducah, KY, CCN 181507 Hospice 5% Or Greater Indirect Ownership Interest (15.29%) Apr 23, 2024

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1306938345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445010207",
            "telephone_number": "330-480-3682",
            "fax_number": "330-480-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 TIBBETTS WICK RD",
            "address_2": "SUITE A",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201182",
            "telephone_number": "330-480-3682",
            "fax_number": "330-480-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH YOUNGSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "BAYTOS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-480-4598"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "OH",
            "license": "02-0945950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287158",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HEALTH HOME INFUSION-YOUNGSTO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.