Organization Active NPI

Mercy Center Nursing Unit

  • Skilled Nursing Facility
  • Dallas, PA
National Provider Identifier
1649264672
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
015502 Issued in PA
Legal business name
MERCY CENTER NURSING UNIT
Practice address
301 Lake St
Dallas, PA 18612-7752
Phone
(570) 675-2131
Fax
(570) 674-7606
NPI assigned
Sep 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Ms. Sara Sweeney, NHA
Title
Nursing Home Administrator
Phone
(570) 675-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 015502 PA Primary

Addresses

Primary practice location

301 Lake St
Dallas, PA 18612-7752

Mailing address

PO Box 370
Dallas, PA 18612-0370
Phone (570) 675-2131

Other identifiers 1

IdentifierTypeStateIssuer
0012388540001MedicaidPA

National Provider Directory

National Provider Directory

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": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1649264672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186120370",
            "telephone_number": "570-675-2131",
            "fax_number": "570-674-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAKE ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186127752",
            "telephone_number": "570-675-2131",
            "fax_number": "570-674-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CENTER NURSING UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "570-675-2131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "015502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012388540001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.