MERCY MEDICAL, A CORPORATION (NPI# 1174587067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174587067 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL, A CORPORATION |
| Practice Address |
374 Greeno Rd S Fairhope AL 36532-1916 |
| Mailing Address |
Po Box 1090 Daphne AL 36526-1090 |
| Practice Telephone | 2516214431 |
| Practice Fax Number | 2516214896 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | NECIE BORRONI (CFO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2514596454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 11712 | AL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC BS OF AL PROVER NUMBER | 51535174 | 01 |
| AL | MEDICARE OSCAR NUMBER | 017034 | 01 |
| AL | BCBS OF AL PROVIDER NUM | 51041160 | 01 |
| AL | HEALTHSPRING PROVIDER NUM | 9245 | 01 |
| AL | MER7034A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215992524 | Mercy Medical, A Corporation | Skilled Nursing Facility | 3712 Dauphin St, Mobile, AL 36608-1725 | 2006-04-19 |
| 1386609626 | Mercy Medical, A Corporation | Hospice Care, Community Based | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2006-04-19 |
| 1427013051 | Mercy Medical, A Corporation | Rehabilitation Unit | 101 Villa Dr, Daphne, AL 36526-4653 | 2006-04-18 |
| 1124083761 | Mercy Medical, A Corporation | Skilled Nursing Facility | 101 Villa Dr, Daphne, AL 36526-4653 | 2006-04-18 |
| 1770575698 | Mercy Medical, A Corporation | Home Health | 101 Villa Dr, Daphne, AL 36526-4653 | 2005-08-17 |
| Street Address |
374 GREENO RD S |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124644802 | Margaret Davis Kellar | Nurse Practitioner | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2020-06-18 |
| 1740827799 | Kathryn Steele | Counselor | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2019-12-09 |
| 1750856324 | Patricia Reed | Nurse Practitioner | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2018-10-09 |
| 1710470935 | Alexandra Hart Lee | Social Worker | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2018-06-12 |
| 1508357781 | Heather F Harcourt | Social Worker | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2018-05-23 |
| 1831689447 | Ellen Ann Walker | Counselor | 374 Greeno Rd S, Fairhope, AL 36532 | 2018-05-18 |
| 1073064234 | Comfort Care Coastal Home Health | Home Health | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2016-10-21 |
| 1851789440 | Carly Marie Collins | Social Worker | 374 Greeno Rd S, Fairhope, AL 36532 | 2015-01-05 |
| 1891090403 | Eastern Shore Internal Medicine, LLC | Internal Medicine | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2011-01-13 |
| 1982847638 | Aneek R Shoemaker | Psychiatry & Neurology | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2009-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477960912 | Prohealth-gulf Coast, LLC | Home Health | 105b Lottie Ln, Fairhope, AL 36532-2995 | 2014-07-16 |
| 1790902435 | Thomas Home Health, LLC | Home Health | 7530 Parker Rd, Suite 200, Fairhope, AL 36532-3461 | 2007-04-20 |
| 1073064234 | Comfort Care Coastal Home Health | Home Health | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2016-10-21 |
| 1174900609 | Prohealth-gulf Coast, LLC | Home Health | 105b Lottie Ln, Fairhope, AL 36532-2995 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518216 | Acaf of East Alabama, LLC | Home Health | 2056 Cherokee Road, Alexander City, AL 35010 | 2020-11-04 |
| 1578163143 | Leisha Jenkins Henry | Home Health | 6722 Van Buren St # Condo3, Daphne, AL 36526-7584 | 2020-10-31 |
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1366058596 | Heart Warming Angels Homecare LLC | Home Health | 1716 Patterson St Nw, Huntsville, AL 35816-1628 | 2020-09-22 |
| 1801402318 | Merida Care LLC | Home Health | 3943 Richard Arrington Jr Blvd N, Birmingham, AL 35234-2453 | 2020-09-20 |
| 1851906036 | Loving Care Home Health LLC | Home Health | 1715 7th Ave N, Bessemer, AL 35020-4856 | 2020-09-14 |
| 1679186001 | Silvannia Waters | Home Health | 1909 Montgomery Hwy Ste 310, Dothan, AL 36303-3299 | 2020-08-25 |
| 1740891910 | Jessica Celeste Ealey | Home Health | 271 Watson Bridge Rd, Kinsey, AL 36303-7629 | 2020-08-12 |
| 1932718236 | Linda Beck | Home Health | 3205 Lloyds Ln Apt F5, Mobile, AL 36693-3817 | 2020-07-23 |
| 1669090809 | Takita Green | Home Health | 323 Olympia Dr, Homewood, AL 35209-3743 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.