HOUSE OF MERCY, INC. (NPI# 1205912201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205912201 |
| Entity Type | Organization |
| Organization Name | HOUSE OF MERCY, INC. |
| Practice Address |
701 Mercy Drive Belmont NC 28012-0808 |
| Practice Telephone | 7048254711 |
| Practice Fax Number | 7048259976 |
| Mailing Telephone | 7048254711 |
| Mailing Fax Number | 7048259976 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STANLEY FORREST PATTERSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 7048254711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL036004 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8700219 | 05 | |
| NC | 7802501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518146539 | House of Mercy, Inc. | Durable Medical Equipment & Medical Supplies | 2683 Vidrine Rd, Ville Platte, LA 70586-8505 | 2007-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | HOUSE OF MERCY, INC. | Porter & East St., Winslow, IN 47598 |
| Street Address |
701 MERCY DRIVE |
| City | BELMONT |
| State | NC |
| Zip Code | 28012-0808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447873 | Lisa Emi Mclemore | Technician | 704 Armstrong Rd, Belmont, NC 28012 | 2019-10-02 |
| 1902453244 | Eli Zipkin | Dentist | 965 South Point Road, Belmont, NC 28012 | 2019-08-21 |
| 1457879892 | Sharon H Miller | Acupuncturist | 684 Park St, Belmont, NC 28012 | 2017-09-06 |
| 1083138242 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 905 South Point Rd, Belmont, NC 28012 | 2017-07-31 |
| 1285079533 | Edoardo Pate | Chiropractor | 6021 W Wilkinson Blvd, Belmont, NC 28012 | 2013-04-30 |
| 1023367430 | Abby C Blowe Dds Pa | Dentist | 8024 Water View Drive, Belmont, NC 28012 | 2012-08-30 |
| 1972885598 | Michelle Marie Watkins | Counselor | 32 N Main St Ste 204, Belmont, NC 28012 | 2011-09-10 |
| 1598050791 | Lauren Swafford | Pharmacist | 6750 Wilkinson Boulevard, Belmont, NC 28012 | 2011-06-15 |
| 1316264831 | Evelyn Maiers Bailey | Respiratory Therapist, Certified | 230 River Loop Rd, Belmont, NC 28012 | 2010-04-23 |
| 1376866079 | Metrolina Psychotherapy Associates P.a. | Social Worker | 1212 Spruce St., Suite 315, Belmont, NC 28012 | 2010-03-09 |
| Find all providers in zip 28012 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740718394 | Brian Richard Kooiker Sr. | Custodial Care Facility | 6909 Cannonsburg Rd Ne, Belmont, MI 49306-9123 | 2017-05-26 |
| 1487070769 | Mere-mor House | Custodial Care Facility | 4084 Tucker Rd, Belmont, NC 28012-8702 | 2014-03-11 |
| 1063747319 | Gary | Custodial Care Facility | 301 Mcauley Circle, Belmont, NC 28012-0710 | 2009-10-05 |
| 1801129127 | Lakewood | Custodial Care Facility | 302 Greenwood Pl, Belmont, NC 28012-2911 | 2009-09-18 |
| 1285861500 | Carrabaun | Custodial Care Facility | 303 Mcauley Circle, Belmont, NC 28012-0710 | 2009-06-12 |
| 1720107733 | Southpoint | Custodial Care Facility | 2352 Southpoint Rd, Belmont, NC 28012-7790 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 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.