Organization Active NPI

Mercy House Living Centers

  • Case Management Agency
  • Santa Ana, CA
National Provider Identifier
1467114066
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MERCY HOUSE LIVING CENTERS
Practice address
203 N Golden Circle Dr
Santa Ana, CA 92705-4010
Phone
(714) 836-7188
Fax
(714) 836-7901
NPI assigned
Oct 11, 2021
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Mr. Larry Haynes
Title
Chief Executive Officer
Phone
(714) 836-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

203 N Golden Circle Dr
Santa Ana, CA 92705-4010

Mailing address

PO Box 1905
Santa Ana, CA 92702-1905
Phone (714) 836-7188

National Provider Directory

National Provider Directory

Locations

203 N Golden Circle Dr
Santa Ana, CA 92705
Phone (714) 836-7188

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1467114066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1905",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927021905",
            "telephone_number": "714-836-7188",
            "fax_number": "714-836-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N GOLDEN CIRCLE DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054010",
            "telephone_number": "714-836-7188",
            "fax_number": "714-836-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOUSE LIVING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-836-7188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.