Active NPI
Mercy Home Care & Hospice-Clinton
- Community Based Hospice Care Agency
- Clinton, IA
National Provider Identifier
1508948357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 2001675
- Legal business name
- MERCY HOME CARE & HOSPICE-CLINTON
- Practice address
- 915 13TH Ave N
Clinton, IA 52732-5067 - Phone
- (563) 244-3666
- Fax
- (563) 244-3719
- NPI assigned
- Oct 20, 2006
- Organization subpart
- Yes
- Parent organization
- MERCY MEDICAL CENTER-CLINTON, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 2001675 | 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) 244-3666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0615617 | Medicaid | IA |
Other names 1
- Mercy Home Care & Hospice-Clinton
National Provider Directory
National Provider Directory- Part of
- Mercy Medical Center
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Clinton, IA
- NPI 1093845737
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1508948357",
"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": "563-244-3666",
"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": "563-244-3666",
"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": "2006-10-20",
"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": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IL",
"license": "2001675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0615617",
"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
- Medical Associates of Clinton, Iowa, P.L.C.
- Kristie A Melvin, ARNP, DNP
- Mercy Clinton Anesthesia Group LLC
- Mercy Family Pharmacy
- Mercy Home Care & Hospice-Clinton
- Mercy Medical Center - Clinton, Inc.
- Mercy Medical Center-Clinton Inc
- Mercy Medical Center-Clinton Inc
- Mercy Medical Center-Clinton, Inc
- Mercy Medical Center-Clinton, Inc.
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.