Merrick Community Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MERRICK COMMUNITY SERVICES

Practice address

715 Edgerton St
Saint Paul, MN 55130-4549

Phone

(651) 771-9339

Fax

(651) 771-8465

NPI assigned

Aug 16, 2007

Last updated

Aug 16, 2007By 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

Mr. Francis Ivory

Title

Executive Director

Phone

(651) 771-8821

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1548452121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 6TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064806",
            "telephone_number": "651-771-8821",
            "fax_number": "651-771-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 EDGERTON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304549",
            "telephone_number": "651-771-9339",
            "fax_number": "651-771-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-771-8821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy G Merritt, CRNA
• Christopher B Mertz, PSYD

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.