Organization Active NPI

Grace N Mercy Resident Incorporated

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1548859382
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
April Roann Robertson, APSSNPI 1326676578
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.