Mercy Adult Foster Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MERCY ADULT FOSTER CARE, LLC

Practice address

50 Meridian St Unit 456
Boston, MA 02128-7020

Phone

(617) 909-2052

NPI assigned

Nov 28, 2024

Organization subpart

No

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

Authorized official

Name

Ezra Woldeamlak, RN, MPH

Title

President

Phone

(617) 909-2052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732752000000",
    "number": "1487470050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MERIDIAN ST UNIT 456",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021287020",
            "telephone_number": "617-909-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MERIDIAN ST UNIT 456",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021287020",
            "telephone_number": "617-909-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ADULT FOSTER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A",
        "authorized_official_last_name": "WOLDEAMLAK",
        "authorized_official_first_name": "EZRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-909-2052",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Mercogliano
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• Mercury Newco Inc (Overstory Health)
• David Miles Meredith, M.D., PH.D.
• Jennifer Meredith, MED, CCC-SLP
• Nicole Meregian, PA-C
• Elisa Mereto
• Francoise Mereus-Blaise, NP

• In Home Supportive Care Agency in Boston, MA
• Providers in Boston, MA by specialty
• In Home Supportive Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.