Organization Active NPI

Mercy Home Care & Hospice-Clinton

  • Community Based Hospice Care Agency
  • Clinton, IA
National Provider Identifier
1508948357
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2001675 Issued in IL
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0615617MedicaidIA

Other names 1

  • Mercy Home Care & Hospice-Clinton Doing business as

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.

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

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.

Verify at the official NPI Registry.