Mercy of Tampa Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MERCY OF TAMPA INC.

Practice address

6428 Eden LN
Tampa, FL 33634-4710

Phone

(813) 843-3326

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Olayemi Fadiora

Title

Owner

Phone

(813) 843-3326

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1689327546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 EDEN LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344710",
            "telephone_number": "813-843-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 EDEN LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344710",
            "telephone_number": "813-843-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY OF TAMPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "FADIORA",
        "authorized_official_first_name": "OLAYEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-843-3326"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685855496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Judith Merchant, NP
• Chelsea Stevens Mercier, APRN
• Danielle Mercuri, LCSW
• Jahdane Mercurius
• Daran G Mercury
• Denise Merdich, ARNP
• Jason Thomas Meredith, ATC
• Michael-Paul Meredith, M.A.
• Brooke Merfogel
• Merganser Emergency Physicians LLC

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.