Active NPI
Mercy Care Providers, LLC
- Developmental Disabilities Clinic/Center
- Columbia, MD
National Provider Identifier
1538598735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- MERCY CARE PROVIDERS, LLC
- Practice address
- 10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865 - Phone
- (410) 309-7052
- NPI assigned
- Nov 7, 2013
- Last updated
- May 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph I Likambi
- Title
- Administrator
- Phone
- (301) 538-0207
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary | ||
| Pediatric Skilled Nursing Facility | 3140N1450X | R3446 | MD | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
10015 Old Columbia Rd Ste B215
Columbia, MD 21046-1865
Mailing address
4804 Continental Dr
Olney, MD 20832-2943
Phone (301) 260-1777
National Provider Directory
National Provider DirectoryLocations
10015 Old Columbia Rd
Ste B215
Columbia, MD 21046
Phone (410) 312-7631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1538598735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 CONTINENTAL DR",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322943",
"telephone_number": "301-260-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 OLD COLUMBIA RD STE B215",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461865",
"telephone_number": "410-309-7052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CARE PROVIDERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-07",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "LIKAMBI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "301-538-0207",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "MD",
"license": "R3446",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.