Merced Care Home LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MERCED CARE HOME LLC

Doing business as

Melba Merced

Practice address

4616 N Lincoln Ave
Tampa, FL 33614-6634

Phone

(813) 516-4399

NPI assigned

Jun 11, 2016

Organization subpart

No

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

Authorized official

Name

Melba MercedNPI 1194273318

Title

President

Phone

(813) 516-4399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Melba Merced Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melba Merced

  • Developmentally Disabled Services Day Training Agency
  • Tampa, FL
  • NPI 1194273318

  Day Training, Developmentally Disabled Services

  NPD (past) Authorized official

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465603200000",
    "number": "1386093144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273372",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336883372",
            "telephone_number": "813-516-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 N LINCOLN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146634",
            "telephone_number": "813-516-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A",
        "authorized_official_last_name": "MERCED",
        "authorized_official_first_name": "MELBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-516-4399"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015674300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melba Merced",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abner Emilio Mercado Arocho, MD
• Celine Isabel Mercado
• Lorraine Marie Mercado
• Madelyn Mercado
• Teava Mercado, APRN
• Melba Merced
• Nelson Joel Merced
• Robert Merced
• Mercedes Montealegre MD PA
• Tammi S Mercedes, ARNP

• Developmentally Disabled Services Day Training Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; 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.