NPIMap

Organization Active NPI

Mercy Home Care & Hospice-Clinton

  • Home Health Agency
  • Clinton, IA
National Provider Identifier
1407842552
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
001008127 Issued in IL
Legal business name
MERCY HOME CARE & HOSPICE-CLINTON
Doing business as
Mercy Home Care & Hospice-Clinton
Practice address
915 13TH Ave N
Clinton, IA 52732-5067
Phone
(563) 244-3766
Fax
(563) 244-3719
NPI assigned
Sep 23, 2005
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY MEDICAL CENTER-CLINTON, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Timothy T Shinbori
Title
Executive Director
Phone
(563) 244-3766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 001008127 IL Primary

Addresses

Primary practice location

915 13TH Ave N
Clinton, IA 52732-5067

Mailing address

915 13TH Ave N
Clinton, IA 52732-5067
Phone (563) 244-3766

Other identifiers 1

IdentifierTypeStateIssuer
0671552MedicaidIA

Other names 1

  • Mercy Home Care & Hospice-Clinton Doing business as

National Provider Directory

National Provider Directory
Part of
Samaritain Clinic of Sa

Member of 3

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

Locations

9317A Il Route 84
Savanna, IL 61074
Phone (815) 273-2628

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1407842552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325067",
            "telephone_number": "563-244-3766",
            "fax_number": "563-244-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325067",
            "telephone_number": "563-244-3766",
            "fax_number": "563-244-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME CARE & HOSPICE-CLINTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MEDICAL CENTER-CLINTON, INC.",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "SHINBORI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-244-3766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "001008127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671552",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Care & Hospice-Clinton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Home Care & Hospice-Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.