Active NPI
Mercy Senior Care Center LLC
- Skilled Nursing Facility
- Swansea, IL
National Provider Identifier
1407345762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MERCY SENIOR CARE CENTER LLC
- Practice address
- 100 Rosewood Village Dr
Swansea, IL 62226-2301 - Phone
- (618) 236-1391
- Fax
- (618) 236-9622
- NPI assigned
- May 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael L Brady
- Title
- President
- Phone
- (618) 236-1391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
100 Rosewood Village Dr
Swansea, IL 62226-2301
Mailing address
100 Rosewood Village Dr
Swansea, IL 62226-2301
Phone (618) 236-1391
Other names 1
- Mercy Rehab & Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525219200000",
"number": "1407345762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROSEWOOD VILLAGE DR",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262301",
"telephone_number": "618-236-1391",
"fax_number": "618-236-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROSEWOOD VILLAGE DR",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262301",
"telephone_number": "618-236-1391",
"fax_number": "618-236-9622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY SENIOR CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-236-1391",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Rehab & Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mercy Rehab & Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.