NPIMap

Organization Active NPI

Mercy Medical, a Corporation

  • Home Health Agency
  • Daphne, AL
National Provider Identifier
1770575698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10188 Issued in AL
Legal business name
MERCY MEDICAL, A CORPORATION
Practice address
101 Villa Dr
Daphne, AL 36526-4653
Phone
(251) 621-4250
Fax
(251) 621-4234
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. L. Wayne Sasser, MBA
Title
Patient Financial Services Manager
Phone
(251) 621-4250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10188 AL Primary

Addresses

Primary practice location

101 Villa Dr
Daphne, AL 36526-4653

Mailing address

101 Villa Dr
Daphne, AL 36526-4653
Phone (251) 621-4250

Other names 1

  • Mercy Home Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Mercy Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770575698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 VILLA DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264653",
            "telephone_number": "251-621-4250",
            "fax_number": "251-621-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VILLA DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264653",
            "telephone_number": "251-621-4250",
            "fax_number": "251-621-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL, A CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SASSER",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES MANAGER",
        "authorized_official_telephone_number": "251-621-4250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "10188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

  • 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.