NPIMap

Organization Active NPI

Mercy Life of Alabama

  • PACE Provider Organization
  • Mobile, AL
National Provider Identifier
1952609059
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
MERCY LIFE OF ALABAMA
Practice address
2900 Springhill Ave
Mobile, AL 36607-1822
Phone
(251) 287-8420
Fax
(251) 621-4234
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Diane LancasterNPI 1063827129
Title
Executive Director
Phone
(251) 621-4452

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
PACE Provider Organization 251T00000X AL Primary

Addresses

Primary practice location

2900 Springhill Ave
Mobile, AL 36607-1822

Mailing address

PO Box 1090
Daphne, AL 36526-1090
Phone (251) 287-8420

National Provider Directory

National Provider Directory

Locations

2900 Spring Hill Ave
Mobile, AL 36607
Phone (251) 287-8420

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1952609059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365261090",
            "telephone_number": "251-287-8420",
            "fax_number": "251-621-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SPRINGHILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366071822",
            "telephone_number": "251-287-8420",
            "fax_number": "251-621-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY LIFE OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "251-621-4452"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.