Our Lady of Mercy Health Care Center, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1T61 Issued in MA

Legal business name

OUR LADY OF MERCY HEALTH CARE CENTER, INC

Practice address

101 Barry Rd
Worcester, MA 01609-1154

Phone

(508) 798-3727

Fax

(508) 757-9415

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Anna Marie Tag

Title

President

Phone

(508) 798-3727

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730300294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BARRY RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091154",
            "telephone_number": "508-798-3727",
            "fax_number": "508-757-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BARRY RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091154",
            "telephone_number": "508-798-3727",
            "fax_number": "508-757-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF MERCY HEALTH CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAG",
        "authorized_official_first_name": "ANNA MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-798-3727"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "1T61",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5508746",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ekim Otucu
• Setou Ouattara
• Daniel John Ouellette, DDS
• Haylee Ouellette
• Nicole Ouellette
• Kayla Michele Overly, PA
• Margaret Owegi, D.O.
• Aaron Owens
• Amanda Owens, MSW
• Christopher L. Owens, MD

• Adult Care Home Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Adult Care Home Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.