Organization Active NPI

Mercy of God LLC

  • Assisted Living Facility
  • Moreno Valley, CA
National Provider Identifier
1972489037
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MERCY OF GOD LLC
Practice address
13671 Regis Dr
Moreno Valley, CA 92555-2500
Phone
(909) 996-2400
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Mrs. Taye O Dodo-Williams
Title
Administrator
Phone
(909) 996-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

13671 Regis Dr
Moreno Valley, CA 92555-2500

Mailing address

13671 Regis Dr
Moreno Valley, CA 92555-2500
Phone (909) 996-2400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1972489037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13671 REGIS DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552500",
            "telephone_number": "909-996-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13671 REGIS DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552500",
            "telephone_number": "909-996-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY OF GOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "DODO-WILLIAMS",
        "authorized_official_first_name": "TAYE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-996-2400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.