NPIMap

Organization Active NPI

Mercy Hospital Jefferson

Doing business as Mercy Home Health

  • Home Health Agency
  • Festus, MO
National Provider Identifier
1396748588
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
198-20 Issued in MO
Legal business name
MERCY HOSPITAL JEFFERSON
Doing business as
Mercy Home Health
Practice address
151 Industrial Dr
Festus, MO 63028-4134
Phone
(636) 933-1162
Fax
(636) 933-1579
NPI assigned
May 23, 2005
Last updated
Feb 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Authorized official

Name
Daniel Eckenfels
Title
Vice President Finance
Phone
(314) 525-1483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 198-20 MO Primary

Addresses

Primary practice location

151 Industrial Dr
Festus, MO 63028-4134

Mailing address

151 Industrial Dr
Festus, MO 63028-4134
Phone (636) 933-1162

Other identifiers 5

IdentifierTypeStateIssuer
G2149017OtherMOHEALTHLINK
83OtherMOBLUECROSS/BLUESHIELD OF M
580155703MedicaidMO
99513OtherMOGROUP HEALTH PLAN
6000091OtherMOUNITED HEALTHCARE

Other names 1

  • Mercy Home Health Doing business as

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mercy Home HealthCCN 267217
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Oct 4, 1984
Medicare certification status
Terminated Voluntary: merger or closure, Apr 1, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1377 US Highway 61
Ste 100
Crystal Cty, MO 63028
Phone (636) 933-1109

1390 US Highway 61
Ste N1100
Crystal Cty, MO 63028
Phone (636) 933-8698

1390 US Highway 61
Ste N2400
Crystal Cty, MO 63028
Phone (636) 933-8270

702 N Main St
De Soto, MO 63020
Phone (636) 337-0833

550 Maple Valley Dr
Ste A
Farmington, MO 63640
Phone (573) 705-3565

604 Maple Valley Dr
Ste 1
Farmington, MO 63640
Phone (573) 790-1674

606 Maple Valley Dr
Ste 101
Farmington, MO 63640
Phone (573) 790-1674

620 Maple Valley Dr
Ste A
Farmington, MO 63640
Phone (573) 454-2466

1250 Main St
Imperial, MO 63052
Phone (636) 741-3150

Practitioners & affiliated clinicians

Practitioners 124

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.

View all 124

Affiliated clinicians 23

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614470400000",
    "number": "1396748588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 INDUSTRIAL DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284134",
            "telephone_number": "636-933-1162",
            "fax_number": "636-933-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 INDUSTRIAL DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284134",
            "telephone_number": "636-933-1162",
            "fax_number": "636-933-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL JEFFERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A",
        "authorized_official_last_name": "ECKENFELS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "314-525-1483"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "198-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "G2149017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD OF M",
            "identifier": "83",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580155703",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "99513",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6000091",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.