Mercy Manor at Saybrooke, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-092-221 Issued in NC

Legal business name

MERCY MANOR AT SAYBROOKE, INC

Practice address

6320 Saybrooke Drive
Raleigh, NC 27604

Phone

(919) 878-1912

Fax

(919) 790-9970

NPI assigned

Oct 7, 2016

Last updated

Jun 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ebere Chinaka Collins, RN, BSNNPI 1184174690

Title

Owner/Administrator

Phone

(919) 271-0917

Specialties & licenses 1

Addresses

Other names 1

• Mercy Manor, Inc Former legal business name

Practitioners 1

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.

• Ebere Collins

  • Adult Care Home Facility
  • Raleigh, NC
  • NPI 1184174690
  NPD (past) Authorized official

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1437609948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 TREVI FOUNTAIN PLACE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-878-1912",
            "fax_number": "919-790-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SAYBROOKE DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27604",
            "telephone_number": "919-878-1912",
            "fax_number": "919-790-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MANOR AT SAYBROOKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EBERE",
        "authorized_official_middle_name": "CHINAKA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "919-271-0917",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-092-221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Manor, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Lawrence Mercadante, PA
• Mercedes Aybar-Diaz, DDS, PA
• Artezia Mercer
• James Christopher Mercer, CRNA
• Austin Brian Merck, PT
• Meredith College (Meredith Autism Program)
• Meredith College Autism Program
• Keely Meredith
• Meghan Hardman Meredith, OTD, OTR/L
• Scott D. Meredith, M.D.

• Adult Care Home Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.