Organization Active NPI

Mercy Home Health Berryville

Doing business as Mercy Home Health

  • Home Health Agency
  • Berryville, AR
National Provider Identifier
1740369164
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4614 Issued in AR
Legal business name
MERCY HOME HEALTH BERRYVILLE
Doing business as
Mercy Home Health
Practice address
804 W Freeman
Suite 4
Berryville, AR 72616-4303
Phone
(870) 423-5255
Fax
(870) 423-4367
NPI assigned
Nov 5, 2006
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Scott Reynolds
Title
VP Finance
Phone
(417) 820-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4614 AR Primary

Addresses

Primary practice location

804 W Freeman
Suite 4
Berryville, AR 72616-4303

Mailing address

1570 W Battlefield St
Suite 110
Springfield, MO 65807-4106
Phone (417) 820-5550

Other identifiers 1

IdentifierTypeStateIssuer
163874514MedicaidAR

Other names 1

  • Mercy Home Health Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1740369164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 W BATTLEFIELD ST",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074106",
            "telephone_number": "417-820-5550",
            "fax_number": "417-820-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W FREEMAN",
            "address_2": "SUITE 4",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164303",
            "telephone_number": "870-423-5255",
            "fax_number": "870-423-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME HEALTH BERRYVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-05",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "417-820-2818"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163874514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.