Organization Active NPI

Mercy Drive Inc

  • Case Management Agency
  • Forest Hills, NY
National Provider Identifier
1962008839
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MERCY DRIVE INC
Practice address
7235 112TH St Ste PR1
Forest Hills, NY 11375-5451
Phone
(718) 725-9895
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Christabella Cochran
Title
Executive Director
Phone
(718) 725-9896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

7235 112TH St Ste PR1
Forest Hills, NY 11375-5451

Mailing address

7235 112TH St Ste PR1
Forest Hills, NY 11375-5451
Phone (718) 725-9895

National Provider Directory

National Provider Directory
Tax ID family
Mercy Drive Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7235 112th St
Ste PR1
Forest Hills, NY 11375
Phone (718) 725-9895

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1962008839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 112TH ST STE PR1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755451",
            "telephone_number": "718-725-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 112TH ST STE PR1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755451",
            "telephone_number": "718-725-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY DRIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "CHRISTABELLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-725-9896"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

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