The House of Mercy Corp

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

THE HOUSE OF MERCY CORP

Practice address

1418 SE 28TH Ter
Cape Coral, FL 33904-3917

Phone

(239) 257-9636

Fax

(786) 717-6435

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Zunilda Puentes

Title

President

Phone

(239) 257-9636

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1821551243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 SE 28TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043917",
            "telephone_number": "239-257-9636",
            "fax_number": "786-717-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 SE 28TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043917",
            "telephone_number": "239-257-9636",
            "fax_number": "786-717-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOUSE OF MERCY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2021-12-10",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "PUENTES",
        "authorized_official_first_name": "ZUNILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-257-9636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100159200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Thayer, APRN
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• Developmental Disabilities Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.