NPIMap

Organization Active NPI

Grace and Mercy Health Services.

  • Nursing Care Agency
  • Lanham, MD
National Provider Identifier
1861642761
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R2494 Issued in MD
Legal business name
GRACE AND MERCY HEALTH SERVICES.
Practice address
4601 Presidents Dr Ste 232
Lanham, MD 20706-4870
Phone
(202) 359-9725
Fax
(301) 441-2360
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Mercy Mbandi Forlu, RNNPI 1194346239
Title
Director
Phone
(202) 359-9725

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NSA-0208 DC
Nursing Care Agency 251J00000X R2494 MD Primary
Nursing Care Agency 251J00000X 0705009 MD
In Home Supportive Care Agency 253Z00000X 400315904666 DC

Addresses

Primary practice location

4601 Presidents Dr Ste 232
Lanham, MD 20706-4870

Mailing address

4601 Presidents Dr Ste 232
Lanham, MD 20706-4870
Phone (202) 359-9725

Other identifiers 5

IdentifierTypeStateIssuer
039843400MedicaidDC
966201400MedicaidMD
966202200MedicaidMD
416061400MedicaidMD
5966201400MedicaidMD

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.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1861642761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PRESIDENTS DR STE 232",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064870",
            "telephone_number": "202-359-9725",
            "fax_number": "301-441-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PRESIDENTS DR STE 232",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064870",
            "telephone_number": "202-359-9725",
            "fax_number": "301-441-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND MERCY HEALTH SERVICES.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2023-08-01",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "FORLU",
        "authorized_official_first_name": "MERCY",
        "authorized_official_middle_name": "MBANDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-359-9725",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "DC",
            "license": "NSA-0208",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R2494",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "0705009",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DC",
            "license": "400315904666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039843400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "966201400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "966202200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416061400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5966201400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.