Mercy Medical Staffing, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MERCY MEDICAL STAFFING, LLC

Practice address

12800 Shaker Blvd Ste 210D
Cleveland, OH 44120-2000

Phone

(216) 751-1500

Fax

(216) 751-1502

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Magan Araham

Title

Administrator

Phone

(614) 285-5771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369230

Legal name

MERCY MEDICAL STAFFING, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 18, 2020

Last certification

Feb 18, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

12800 Shaker Blvd
Ste 210D
Cleveland, OH 44120-2000

Listed as

Mercy Medical Staffing LLCCCN 369230

Ownership

Proprietary

Certified

Feb 18, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326569591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 SHAKER BLVD STE 210D",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202000",
            "telephone_number": "216-751-1500",
            "fax_number": "216-751-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 SHAKER BLVD STE 210D",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202000",
            "telephone_number": "216-751-1500",
            "fax_number": "216-751-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "ARAHAM",
        "authorized_official_first_name": "MAGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-285-5771"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Mercure, QMHS BA CMS BA
• Staci Mercuri
• Mercy Angels Home Care, LLC
• Mercy Angels Transportation LLC
• Mercy Home Healthcare Services LLC
• Kathleen Merdes, MSPT
• Mary Alice Meredith, RN
• Shelby Meredith
• Tiquashia Dejuan Meredith
• Meagan R. Merendino, APRN

• Home Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.