Mercy Land Home Health LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MERCY LAND HOME HEALTH LLC

Practice address

203 Thornbury St
Clayton, NC 27527-9328

Phone

(919) 638-5448

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Aderonke Ajibulu

Title

Owner

Phone

(919) 638-5448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1356013353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 THORNBURY ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275279328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 THORNBURY ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275279328",
            "telephone_number": "919-638-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY LAND HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "AJIBULU",
        "authorized_official_first_name": "ADERONKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-638-5448"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Lynne Miller, NP

• In Home Supportive Care Agency in Clayton, NC
• Providers in Clayton, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.