Organization Active NPI

Heart of Mercy Hospice

  • Health Maintenance Organization
  • The Woodlands, TX
National Provider Identifier
1871852616
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
64155 Issued in TX
Legal business name
HEART OF MERCY HOSPICE
Practice address
9595 Six Pines Dr Ste 8210
The Woodlands, TX 77380-1642
Phone
(956) 562-2985
Fax
(832) 200-3005
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Rosalina Ruiz, LPC
Title
Ceo
Phone
(956) 562-2985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 64155 TX Primary

Addresses

Primary practice location

9595 Six Pines Dr Ste 8210
The Woodlands, TX 77380-1642

Mailing address

9595 Six Pines Dr Ste 8210
The Woodlands, TX 77380-1642
Phone (956) 562-2985

Other identifiers 1

IdentifierTypeStateIssuer
2819765-01MedicaidTX

Other names 1

  • Mercy Hospice Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1871852616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR STE 8210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801642",
            "telephone_number": "956-562-2985",
            "fax_number": "832-200-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR STE 8210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801642",
            "telephone_number": "956-562-2985",
            "fax_number": "832-200-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF MERCY HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ROSALINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-562-2985",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "64155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2819765-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.