Organization Active NPI

Mercy Hospice, LLC

Doing business as Heart and Soul Hospice

  • Community Based Hospice Care Agency
  • Manasquan, NJ
National Provider Identifier
1871796789
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MERCY HOSPICE, LLC
Doing business as
Heart and Soul Hospice
Practice address
2430 State Highway 34
Suite a-22
Manasquan, NJ 08736
Phone
(732) 528-2200
Fax
(732) 528-2299
NPI assigned
Jun 7, 2007
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Carol Blair, RN
Title
Administrator
Phone
(732) 792-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2430 State Highway 34
Suite a-22
Manasquan, NJ 08736

Mailing address

2430 State Highway 34
Suite a-22
Manasquan, NJ 08736
Phone (732) 528-2200

Other names 1

  • Heart and Soul Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

2430 Highway 34
Ste A22
Manasquan, NJ 08736
Phone (732) 528-2200

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1871796789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 STATE HIGHWAY 34",
            "address_2": "SUITE A-22",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-528-2200",
            "fax_number": "732-528-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 STATE HIGHWAY 34",
            "address_2": "SUITE A-22",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-528-2200",
            "fax_number": "732-528-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-792-1200",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart and Soul Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.