Mercy Restorative Care Hospital, Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

MERCY RESTORATIVE CARE HOSPITAL, INC

Practice address

2001 Vail Ave
Seventh Floor South
Charlotte, NC 28207-1219

Phone

(704) 335-9113

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Clayton

Title

VP, Revenue Cycle

Phone

(704) 887-7283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolinas Specialty Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 340180

Legal name

CAROLINAS SPECIALTY HOSPITAL

Certification status

Terminated Other: provider status change, Jul 31, 2003

Provider type (POS)

Hospital – Short-term

Participating since

Jan 30, 2003

Last certification

Jan 30, 2003

Beds

40

Ownership / control type

Private (not for profit)

Facility address

2001 Vail Ave 7TH Floor
Charlotte, NC 28207

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1407004963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 VAIL AVE",
            "address_2": "SEVENTH FLOOR SOUTH",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071219",
            "telephone_number": "704-335-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VAIL AVE",
            "address_2": "SEVENTH FLOOR SOUTH",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071219",
            "telephone_number": "704-335-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY RESTORATIVE CARE HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "704-887-7283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER NUMBER",
            "identifier": "2352781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Hospital, Inc
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• Mercy Hospital, Inc.
• Mercy Hospital, Inc.
• Mercy Medical Clinic PA
• Mercy Restorative Care Hospital, Inc
• Meredith Home & Finance Center LLC
• Meridian Counseling Group PLLC
• Meridian Laboratory Corp
• Alexander Merkle

• Hospitalist Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Hospitalist Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.