NPIMap

Organization Active NPI

Mercy Haven Home Care

  • In Home Supportive Care Agency
  • Plymouth Meeting, PA
National Provider Identifier
1679392708
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MERCY HAVEN HOME CARE
Practice address
19 Harvard Rd
Plymouth Meeting, PA 19462-7119
Phone
(215) 668-4149
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Dr. Fred Osei, PHARMD
Title
Chief Operations Officer
Phone
(215) 668-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

19 Harvard Rd
Plymouth Meeting, PA 19462-7119

Mailing address

19 Harvard Rd
Plymouth Meeting, PA 19462-7119
Phone (445) 942-4843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1679392708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HARVARD RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194627119",
            "telephone_number": "445-942-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HARVARD RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194627119",
            "telephone_number": "215-668-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HAVEN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "OSEI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "215-668-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.