MERCY HOME MEDICAL SUPPLY INC. (NPI# 1356836746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356836746 |
| Entity Type | Organization |
| Organization Name | MERCY HOME MEDICAL SUPPLY INC. |
| Other Organization Name | MERCY HOME MEDICAL SUPPLY INC. |
| Practice Address |
3801 Sycamore Dairy Rd Ste E Fayetteville NC 28303-3420 |
| Practice Telephone | 9107792334 |
| Practice Fax Number | 9107792326 |
| Mailing Telephone | 9107792334 |
| Mailing Fax Number | 9107792326 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | MR. DAVID HASAN (CEO) |
| Authorized Official Telephone | 9107792334 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HOME MEDICAL SUPPLY INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| MERCY HOME MEDICAL SUPPLY INC. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033614771 | Mercy Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3801 Sycamore Dairy Rd Ste E, Fayetteville, NC 28303-3420 | 2018-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOME MEDICAL SUPPLY INC | 3801 Sycamore Dairy Rd Ste E, Fayetteville, NC 28303-3420 |
| Street Address |
3801 SYCAMORE DAIRY RD STE E |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033614771 | Mercy Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3801 Sycamore Dairy Rd Ste E, Fayetteville, NC 28303-3420 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759174 | Ozark Mobility Nemt, LLC. | Non-emergency Medical Transport (VAN) | 2863 N Old Missouri Rd Ste 105a, Fayetteville, AR 72703-3777 | 2020-08-06 |
| 1154931459 | Lenward Buie | Non-emergency Medical Transport (VAN) | 410 Lionshead Rd, Fayetteville, NC 28311-1356 | 2020-08-03 |
| 1376180901 | Ml Allen Trucking LLC | Non-emergency Medical Transport (VAN) | 2703 Rosehill Rd, Fayetteville, NC 28301-2513 | 2019-12-02 |
| 1376190694 | Professional Health Access LLC | Non-emergency Medical Transport (VAN) | 3070 Highway 138 Sw, Fayetteville, GA 30214-5418 | 2019-08-21 |
| 1740741784 | Jenny & Marv's Transportation Angels | Non-emergency Medical Transport (VAN) | 5007 Higgins St, Fayetteville, NC 28303-3529 | 2019-03-30 |
| 1487110052 | Tnt Transportation LLC | Non-emergency Medical Transport (VAN) | 518 N Cato Springs Rd, Fayetteville, AR 72701-8866 | 2019-02-19 |
| 1063951713 | Circle One Investments LLC | Non-emergency Medical Transport (VAN) | 5490 Robmont Dr, Fayetteville, NC 28306-2673 | 2017-02-14 |
| 1629439450 | Dlk Prime Transport LLC | Non-emergency Medical Transport (VAN) | 1908 Harcourt Cir, Apt 104, Fayetteville, NC 28304-0437 | 2016-03-07 |
| 1588031348 | Arrive On Time Transportation | Non-emergency Medical Transport (VAN) | 145 Magmar Ln, Fayetteville, GA 30214-7208 | 2015-08-27 |
| 1568849032 | E Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 500 Lanier Ave W Ste 908, Fayetteville, GA 30214-7641 | 2015-05-04 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on MERCY HOME MEDICAL SUPPLY INC..
| 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.