Mercy Medical, a Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

11607 Issued in AL

Legal business name

MERCY MEDICAL, A CORPORATION

Doing business as

Mercy Medical Hospice

Practice address

374 Greeno Rd S
Fairhope, AL 36532-1916

Phone

(251) 621-4431

Fax

(251) 621-4896

NPI assigned

Apr 19, 2006

Last updated

Jun 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Necie Borroni

Title

Cfo/Executive Director

Phone

(251) 459-6454

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• MERCY MEDICAL HOSPICE Doing business as

Tax ID family

Aveanna Hospice of Fairhope2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Comfort Care Coastal Hospice, LLC

  dba Aveanna Hospice of Fairhope

  • Community Based Hospice Care Agency
  • Fairhope, AL
  • NPI 1205209509
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Walker

  • Physical Therapist
  • Fairhope, AL
  • NPI 1831238765
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1386609626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365261090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 GREENO RD S",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321916",
            "telephone_number": "251-621-4431",
            "fax_number": "251-621-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL, A CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "BORRONI",
        "authorized_official_first_name": "NECIE",
        "authorized_official_title_or_position": "CFO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-459-6454"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "11607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR NUMBER",
            "identifier": "011502",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF AL",
            "identifier": "9245",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1502E",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "010337",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY MEDICAL HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judson K Menefee, MD
• Menm, LLC (Miracle Ear Center)
• Jo Ann Mercer, CRNA
• Tiffany Amber Merchant, CRNP
• Mercy Medical, a Corporation
• Gregory W Merritt, MD
• Margaret Claire Meyers, MD
• Tambra Shiver Middleton, CRNP
• Miles F Jones & Scott Coleman DMD PA
• Amber Miller, MS, OTR/L

• Community Based Hospice Care Agency in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.