Organization Active NPI

Mercycares Home Health LLC

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1467137380
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MERCYCARES HOME HEALTH LLC
Practice address
1109 N Walnut Ave
New Braunfels, TX 78130-5397
Phone
(830) 743-9690
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Evelyne Merab Matunda, NPNPI 1952784670
Title
Owner
Phone
(830) 743-9690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1109 N Walnut Ave
New Braunfels, TX 78130-5397

Mailing address

1109 N Walnut Ave
New Braunfels, TX 78130-5397
Phone (830) 743-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231201000819 TX Part B Supplier - Clinic/Group Practice 4587025366 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

1109 N Walnut Ave
New Braunfels, TX 78130
Phone (830) 743-9690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1467137380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305397",
            "telephone_number": "830-743-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305397",
            "telephone_number": "830-743-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYCARES HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "MATUNDA",
        "authorized_official_first_name": "EVELYNE",
        "authorized_official_middle_name": "MERAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-743-9690",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.