MERCURY HEALTHCARE LLC (NPI# 1487262655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487262655 |
| Entity Type | Organization |
| Organization Name | MERCURY HEALTHCARE LLC |
| Practice Address |
8051 Ridge Vly Woodstock GA 30189-7048 |
| Practice Telephone | 4196729141 |
| Mailing Telephone | 4196729141 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | HARRISON TANNER WALDRON (OWNER) |
| Authorized Official Telephone | 4196729141 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
8051 RIDGE VLY |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929224 | Harrison Tanner Waldron | Registered Nurse | 8051 Ridge Vly, Woodstock, GA 30189-7048 | 2020-07-14 |
| 1417565623 | Justina Louise Vasquez | Registered Nurse | 8051 Ridge Vly, Woodstock, GA 30189-7048 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| 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 |
|---|---|---|---|---|
| 1073008363 | Lifeline Nursing Agency, Inc. | Home Health | 5119 Briarwood Rd, Woodstock, IL 60098-7626 | 2018-06-28 |
| 1184138737 | Best Healthcare Agency, Inc | Home Health | 3507 Timber Crest Ln, Woodstock, MD 21163-1055 | 2017-11-18 |
| 1356791149 | Scinti Homecare, Inc. | Home Health | 3211 S Cherokee Ln, Suite 610, Woodstock, GA 30188-7025 | 2016-06-13 |
| 1588938211 | Peace of Mind Health Care Inc | Home Health | 345 Creekstone Rdg, Woodstock, GA 30188-3745 | 2012-02-27 |
| 1750674040 | Head To Toe Senior Care, L.L.C. | Home Health | 1602 Chesterfield Ct, Woodstock, GA 30189-3574 | 2011-05-19 |
| 1043540313 | Staffing Solutions of Vermont | Home Health | 2704 Church Hill Rd, Woodstock, VT 05091-9772 | 2010-01-08 |
| 1568691343 | 1st Family Home Healthcare, Inc. | Home Health | 666 Russel Court, Suite 308, Woodstock, IL 60098-2672 | 2009-07-14 |
| 1306974829 | Homemakers North Shore, Inc. | Home Health | 1037 Lake Ave, Woodstock, IL 60098-7409 | 2007-02-28 |
| 1003861824 | Accumed Home Health of Georgia LLC | Home Health | 400 Churchill Ct, Ste 440, Woodstock, GA 30188-6837 | 2006-05-23 |
| 1407388424 | Ability Home Care, LLC | Home Health | 505 N Main St, Suite 109, Woodstock, VA 22664-1851 | 2017-03-29 |
| Find all providers in WOODSTOCK | ||||
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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.