Mercyland Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MERCYLAND HOSPICE CARE, LLC

Practice address

2901 Wilcrest Dr Ste 139
Houston, TX 77042-3359

Phone

(832) 831-5365

Fax

(346) 335-3189

NPI assigned

Dec 30, 2021

Organization subpart

No

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

Authorized official

Name

Olayemi Olabamiji

Title

Ceo

Phone

(832) 831-5365

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91692

Legal name

MERCYLAND HOSPICE CARE LLC

Doing business as

MERCYLAND HOSPICE CARE LLC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 10, 2023

Last certification

Aug 10, 2023

Organization structure

LLCProprietary

Incorporated

Nov 17, 2021 in TX

Enrollment address

2901 Wilcrest Dr
Ste 139
Houston, TX 77042-3359

Listed as

Mercyland Hospice Care LLCCCN A91692

Certified

Aug 10, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hameed Q Ali, D. O.

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1104974955

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1558022699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 WILCREST DR STE 139",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423359",
            "telephone_number": "832-831-5365",
            "fax_number": "346-335-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WILCREST DR STE 139",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423359",
            "telephone_number": "832-831-5365",
            "fax_number": "346-335-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYLAND HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "OLABAMIJI",
        "authorized_official_first_name": "OLAYEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-831-5365"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Home Health Services
• Mercy Medical EMS
• Mercy Senior Care Services
• Mercy Southwest Internal Medicine PA
• Guerdine J Mercy, ARNP
• Meredith V. Morgan, M.D., P.a.
• Cathleen Meredith-Luedtke, RN, MSN, ENP
• Exie Laura Meredith, CPNP-AC
• Keyla Meregildo
• Stephanie U Merem, PHARMD

• Community Based Hospice Care Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.