MERCY MEDICAL, A CORPORATION (NPI# 1215992524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215992524 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL, A CORPORATION |
| Other Organization Name | MERCY MEDICAL SNF-MOBILE |
| Practice Address |
3712 Dauphin St Mobile AL 36608-1725 |
| Mailing Address |
Po Box 1090 Daphne AL 36526-1090 |
| Practice Telephone | 2513447126 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | MARY KAY POLYS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2516214223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 12631 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | HEALTHSPRING PROVIDER NUM | 9245 | 01 |
| AL | BC DSF SNF PROVIDER NUMBE | 012353 | 01 |
| AL | BC SNF PROVIDER NUMBER | 010347 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Medical SNF-Mobile | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174587067 | Mercy Medical, A Corporation | Home Health | 374 Greeno Rd S, Fairhope, AL 36532-1916 | 2006-04-17 |
| 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 |
3712 DAUPHIN ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386150068 | Hannah Gale Gwin | Occupational Therapist | 3712 Dauphin St, Mobile, AL 36608-1725 | 2017-12-18 |
| 1265978746 | Jeanie M Still | Physical Therapist | 3712 Dauphin St, Mobile, AL 36608-1725 | 2017-01-09 |
| 1942673124 | Jessica Beatty | Speech-Language Pathologist | 3712 Dauphin St, Mobile, AL 36608-1725 | 2015-11-10 |
| 1396068557 | Crowne Health Care of Springhill,llc | Skilled Nursing Facility | 3712 Dauphin St, Mobile, AL 36608-1725 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164668059 | Gos Operator LLC | Skilled Nursing Facility | 3151a Knollwood Dr, Mobile, AL 36693-2745 | 2008-12-23 |
| 1770769119 | Knollwood Healthcare LLC | Skilled Nursing Facility | 3151 Knollwood Dr # A, Mobile, AL 36693-2753 | 2008-01-16 |
| 1487765962 | Camille Corporation | Skilled Nursing Facility | 3900 Old Shell Rd, Mobile, AL 36608-1319 | 2006-08-31 |
| 1063521748 | Mobile Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 7020 Bruns Dr, Mobile, AL 36695-4329 | 2006-08-29 |
| 1730124546 | Twin Oaks Nursing Home LLC | Skilled Nursing Facility | 857 Crawford Ln, Mobile, AL 36617-3877 | 2006-06-17 |
| 1568438240 | Cogburn Health and Rehabilitation - West, Inc. | Skilled Nursing Facility | 8002 Grelot Rd, Mobile, AL 36695-8976 | 2006-02-23 |
| 1730166588 | Congress Street Partners, L.p. | Skilled Nursing Facility | 550 Congress St, Mobile, AL 36603-6152 | 2005-12-22 |
| 1750367538 | Allen Memorial Home | Skilled Nursing Facility | 735 S Washington Ave, Mobile, AL 36603-1301 | 2005-12-22 |
| 1649260225 | Cogburn Health & Rehabilitation, Inc. | Skilled Nursing Facility | 148 Tuscaloosa St, Mobile, AL 36607-3408 | 2005-10-25 |
| 1396735965 | Cogburn Health & Rehabilitation-midtown, Inc. | Skilled Nursing Facility | 3104 Dauphin Sq Connector, Mobile, AL 36607-2513 | 2005-10-25 |
| Find all providers in MOBILE | ||||
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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.