Mercy Home Medical Supply Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MERCY HOME MEDICAL SUPPLY INC.

Practice address

3801 Sycamore Dairy Rd Ste E
Fayetteville, NC 28303-3420

Phone

(910) 779-2334

Fax

(910) 779-2326

NPI assigned

Jun 27, 2018

Organization subpart

Yes

Parent organization

MERCY HOME MEDICAL SUPPLY INC.As reported in NPPES

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

Authorized official

Name

Mr. David Hasan

Title

Ceo

Phone

(910) 779-2334

Specialties & licenses 1

Addresses

Other names 1

• MERCY HOME MEDICAL SUPPLY INC. Former legal business name

Part of

Mercy Home Medical Supply Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mercy Home Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, NC
  • NPI 1033614771
  NPPES parent name

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1356836746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SYCAMORE DAIRY RD STE E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033420",
            "telephone_number": "910-779-2334",
            "fax_number": "910-779-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SYCAMORE DAIRY RD STE E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033420",
            "telephone_number": "910-779-2334",
            "fax_number": "910-779-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME MEDICAL SUPPLY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOME MEDICAL SUPPLY INC.",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-779-2334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HOME MEDICAL SUPPLY INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eliana Menlik
• Mary Payne Mentzer, NP
• Merah Transport Inc.
• Tabitha Mercado
• Mercy Home Medical Supply Inc.
• James Arthur Mergy, MD
• Kelly Fogarty Mergy, NP
• Meridian Psychology Practice PLLC
• Krysti Darlene Meridieth, PHYSICIAN ASSISTANT
• Grace Lin Gammon Merrell, FNP

• All providers in Fayetteville, NC
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.