Active NPI
Mercy Services, LLC
- In Home Supportive Care Agency
- Portland, ME
National Provider Identifier
1568138600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MERCY SERVICES, LLC
- Practice address
- 12 Norwood St
Portland, ME 04103-3156 - Phone
- (502) 472-9644
- NPI assigned
- Aug 18, 2021
- Last updated
- Sep 5, 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
- Ms. Tabarek Kadhim
- Title
- Ceo
- Phone
- (502) 210-6272
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
12 Norwood St
Portland, ME 04103-3156
Mailing address
PO Box 292
Westbrook, ME 04098-0292
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630800000000",
"number": "1568138600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 292",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040980292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 NORWOOD ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033156",
"telephone_number": "502-472-9644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2021-09-05",
"certification_date": "2021-09-05",
"status": "A",
"authorized_official_last_name": "KADHIM",
"authorized_official_first_name": "TABAREK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "502-210-6272",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.