Active NPI
House of Mercy Inc
- Health Maintenance Organization
- Ville Platte, LA
National Provider Identifier
1790701340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 6113
- Legal business name
- HOUSE OF MERCY INC
- Practice address
- 1021 Martin Luther King Dr
Ville Platte, LA 70586-4833 - Phone
- (337) 363-4521
- Fax
- (337) 363-4524
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kerney Thomas Sr.
- Title
- Ceo
- Phone
- (337) 363-4521
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 6113 | LA | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6581 | LA |
Addresses
Primary practice location
1021 Martin Luther King Dr
Ville Platte, LA 70586-4833
Mailing address
1021 Martin Luther King Drive
Ville Platte, LA 70586
Phone (337) 363-4521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1175561 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288915200000",
"number": "1790701340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 MARTIN LUTHER KING DRIVE",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "70586",
"telephone_number": "337-363-4521",
"fax_number": "337-363-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MARTIN LUTHER KING DR",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705864833",
"telephone_number": "337-363-4521",
"fax_number": "337-363-4524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE OF MERCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2010-11-05",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "KERNEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-363-4521",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "LA",
"license": "6113",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": "6581",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1175561",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ville Platte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.