Organization Active NPI

Marian Home Healthcare

Doing business as Mercy Home Care-Sioux City

  • Durable Medical Equipment & Medical Supplies
  • Sioux City, IA
National Provider Identifier
1861469066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARIAN HOME HEALTHCARE
Doing business as
Mercy Home Care-Sioux City
Practice address
711 5TH St
Sioux City, IA 51101-1302
Phone
(712) 233-5151
Fax
(712) 233-5156
NPI assigned
Mar 7, 2006
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. Ronald J Roberson
Title
VP/Cfo
Phone
(712) 279-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

711 5TH St
Sioux City, IA 51101-1302

Mailing address

711 5TH St
Sioux City, IA 51101-1302
Phone (712) 233-5151

Other identifiers 2

IdentifierTypeStateIssuer
0148684MedicaidIA
9165160MedicaidSD

Other names 1

  • Mercy Home Care-Sioux City Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861469066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011302",
            "telephone_number": "712-233-5151",
            "fax_number": "712-233-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011302",
            "telephone_number": "712-233-5151",
            "fax_number": "712-233-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "712-279-5850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148684",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9165160",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Care-Sioux City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

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.