Organization Active NPI

St. Mercy Home Health Agency, LLC.

  • Home Infusion Agency
  • Virginia Gardens, FL
National Provider Identifier
1558501874
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
ST. MERCY HOME HEALTH AGENCY, LLC.
Practice address
6595 NW 36TH St
Suite 101-D
Virginia Gardens, FL 33166-6979
Phone
(305) 871-2002
Fax
(305) 871-0004
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Otto Marques
Title
MGR
Phone
(305) 871-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary

Addresses

Primary practice location

6595 NW 36TH St
Suite 101-D
Virginia Gardens, FL 33166-6979

Mailing address

6595 NW 36TH St
Suite 101-D
Virginia Gardens, FL 33166-6979
Phone (305) 871-2002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1558501874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 101-D",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-871-2002",
            "fax_number": "305-871-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 101-D",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-871-2002",
            "fax_number": "305-871-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MERCY HOME HEALTH AGENCY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "MARQUES",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-871-2002"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.