Mercy Villa Convent, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03-070 Issued in MD

Legal business name

MERCY VILLA CONVENT, INC.

Practice address

6806 Bellona Ave
Baltimore, MD 21212-1219

Phone

(410) 377-2450

NPI assigned

Feb 21, 2011

Organization subpart

No

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

Authorized official

Name

Kathy Green, RSM

Title

President

Phone

(410) 377-2450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1811294226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 BELLONA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121219",
            "telephone_number": "410-377-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6806 BELLONA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121219",
            "telephone_number": "410-377-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY VILLA CONVENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-377-2450",
        "authorized_official_credential": "RSM"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03-070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.