Active NPI
Mercy Memorial Hospital Corporation
- Home Health Agency
- Monroe, MI
National Provider Identifier
1386721413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 580030
- Legal business name
- MERCY MEMORIAL HOSPITAL CORPORATION
- Practice address
- 1070 N Monroe St
Monroe, MI 48162 - Phone
- (734) 240-8888
- Fax
- (734) 240-4450
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 7, 2013
- Organization subpart
- Yes
- Parent organization
- MERCY MEMORIAL HOSPITAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Schilling
- Title
- Cfo VP Finance
- Phone
- (734) 240-4520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 580030 | MI | Primary |
Addresses
Primary practice location
1070 N Monroe St
Monroe, MI 48162
Mailing address
718 N Macomb St
Monroe, MI 48162
Phone (734) 240-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540F0380318 | Other | BLUE CROSS | |
| 5171379 | Medicaid | MI |
National Provider Directory
National Provider Directory- Part of
- Mercy Memorial Hospital Corportation
Locations
111 Medical Center Dr
Carleton, MI 48117
Phone (734) 240-8580
14930 Laplaisance Rd
Ste 118
Monroe, MI 48161
Phone (734) 240-2892
7825 N Dixie Hwy
Ste 101
Newport, MI 48166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1386721413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-240-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-240-8888",
"fax_number": "734-240-4450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY MEMORIAL HOSPITAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY MEMORIAL HOSPITAL CORPORATION",
"enumeration_date": "2006-11-01",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "SCHILLING",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CFO VP FINANCE",
"authorized_official_telephone_number": "734-240-4520"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "580030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "540F0380318",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5171379",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
- Mercy Memorial Hospital Corporatio
- Mercy Memorial Hospital Corporatio (Promedica Monroe Regional Hospital)
- Mercy Memorial Hospital Corporation
- Mercy Memorial Hospital Corporation
- Mercy Memorial Hospital Corporation (Monroe Cancer Center)
- Mercy Memorial Hospital Corporation (ProMedica Mercy Memorial Hospital Radiology)
- Mercy Memorial Hospital Corporation (HomeCare Connection)
- Mercy Memorial Hospital Corporation
- Mercy Memorial Hospital Corporation (Family Medicine Residency Center)
- Mercy Memorial Hospital Corporation (ProMedica Monroe Regional Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.