Mercy Drive Inc

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

MERCY DRIVE INC

Practice address

7235 112TH St
Forest Hills, NY 11375-5469

Phone

(718) 793-2158

NPI assigned

Nov 22, 2013

Last updated

Nov 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christabella Cochran

Title

Executive Director

Phone

(718) 793-2158

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Mercy Drive Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Drive Inc

  • Case Management Agency
  • Forest Hills, NY
  • NPI 1962008839
  NPD tax ID

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1518397835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 112TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 112TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755469",
            "telephone_number": "718-793-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY DRIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "CHRISTABELLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-793-2158"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02934132",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02725166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Mensah
• Elba M Mera, RN
• Selena Mera
• Diana Mercado Vargas
• Karl Stephen Umali Mercado, PT, DPT
• Mercy Drive Inc
• Mercy Drive Regional
• Meridian Medical Services PLLC
• Merrick RX Inc (Burns Pharmacy)
• Marina Merritt, SERVICE COORDINATOR

• Child Intellectual and/or Developmental Disabilities Respite Care in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.