Active NPI
Grace N Mercy Resident Incorporated
- Community/Behavioral Health Agency
- Louisville, KY
National Provider Identifier
1548859382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GRACE N MERCY RESIDENT INCORPORATED
- Doing business as
- Grace N Mercy Support Services LLC
- Practice address
- 2420 W Muhammad Ali Blvd
Louisville, KY 40212-1758 - Phone
- (270) 300-6819
- Fax
- (502) 749-0055
- NPI assigned
- Jan 15, 2021
- 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
- April Roann Robertson, APSS
- Title
- Owner
- Phone
- (270) 300-6819
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2420 W Muhammad Ali Blvd
Louisville, KY 40212-1758
Mailing address
4602 Southern Pkwy Ste 1a
Louisville, KY 40214-1442
Phone (270) 300-6819
Other names 1
- Grace N Mercy Support Services LLC
National Provider Directory
National Provider DirectoryLocations
4602 Southern Pkwy
Ste 1A
Louisville, KY 40214
Phone (502) 361-1159
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628726400000",
"number": "1548859382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 SOUTHERN PKWY STE 1A",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402141442",
"telephone_number": "270-300-6819",
"fax_number": "502-749-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 W MUHAMMAD ALI BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402121758",
"telephone_number": "270-300-6819",
"fax_number": "502-749-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE N MERCY RESIDENT INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-15",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "ROANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-300-6819",
"authorized_official_credential": "APSS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grace N Mercy Support Services LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Grace N Mercy Support Services LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.