Organization Active NPI

Merchant Collective Healthcare LLC

  • In Home Supportive Care Agency
  • Glen Carbon, IL
National Provider Identifier
1821927401
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MERCHANT COLLECTIVE HEALTHCARE LLC
Practice address
6212 Timberwolfe Dr
Glen Carbon, IL 62034-1388
Phone
(314) 365-4738
NPI assigned
May 18, 2026
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Virginia Gentry, BSN, RNNPI 1669301123
Title
Owner/ Director of Clinical Operati
Phone
(314) 365-4738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6212 Timberwolfe Dr
Glen Carbon, IL 62034-1388

Mailing address

PO Box 41
Glen Carbon, IL 62034-0041
Phone (314) 365-4738

National Provider Directory

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": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1821927401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620340041",
            "telephone_number": "314-365-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 TIMBERWOLFE DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341388",
            "telephone_number": "314-365-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCHANT COLLECTIVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR OF CLINICAL OPERATI",
        "authorized_official_telephone_number": "314-365-4738",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.