MERCY HOSPITAL, INC. (NPI# 1003248709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003248709 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL, INC. |
| Other Organization Name | CAROLINAS HEALTHCARE SYSTEM PINEVILLE |
| Practice Address |
10648 Park Rd Charlotte NC 28210-8407 |
| Mailing Address |
Po Box 32861 Charlotte NC 28232-2861 |
| Practice Telephone | 7046678000 |
| Practice Fax Number | 7046678001 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MR. GREG A GOMBAR (CFO/EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 7043552154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Carolinas HealthCare System Pineville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083628911 | Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | 218 E Pack Street, Moundridge, KS 67107-0180 | 2006-07-28 |
| 1922240670 | Mercy Hospital, Inc. | Case Management | 3663 S Miami Ave, Miami, FL 33133-4253 | 2009-03-26 |
| 1285776765 | Mercy Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 3661 S Miami Ave, Suite 110, Miami, FL 33133-4236 | 2007-02-13 |
| 1497811962 | Mercy Hospital, Inc. | Case Management | 3663 S Miami Ave, Special Immunology Services, Miami, FL 33133-4253 | 2006-12-29 |
| 1801952106 | Mercy Hospital, Inc. | Case Management | 3663 S Miami Ave, Miami, FL 33133-4253 | 2006-12-29 |
| 1447311501 | Mercy Hospital, Inc. | Pharmacy | 3661 S Miami Ave, Suite 110, Miami, FL 33133-4236 | 2006-12-13 |
| 1184799157 | Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | 2001 Vail Ave, Charlotte, NC 28207-1219 | 2006-11-22 |
| 1801961875 | Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | 10628 Park Rd, Charlotte, NC 28210-8407 | 2006-11-22 |
| Street Address |
10648 PARK RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376570689 | Shawn Van Wallendael | Physician Assistant | 10648 Park Rd, Charlotte, NC 28210-8407 | 2006-06-26 |
| 1912507732 | Payeng Lee | Nurse Practitioner | 10648 Park Rd, Charlotte, NC 28210-8407 | 2020-10-30 |
| 1275153462 | Darius Ingram | Occupational Therapist | 10648 Park Rd, Charlotte, NC 28210-8407 | 2020-04-17 |
| 1114553286 | Jamie Savarino | Physical Medicine & Rehabilitation | 10648 Park Rd, Charlotte, NC 28210-8407 | 2020-03-20 |
| 1962987131 | The Charlotte-mecklenburg Hospital Authority | Rehabilitation Unit | 10648 Park Rd, Charlotte, NC 28210-8407 | 2018-10-03 |
| 1144607029 | Chandee Payne | Physical Medicine & Rehabilitation | 10648 Park Rd, Charlotte, NC 28210-8407 | 2015-04-30 |
| 1104216217 | Lesley Saunders | Speech-Language Pathologist | 10648 Park Rd, Charlotte, NC 28210-8407 | 2015-01-27 |
| 1477943728 | Anna Edwards | Physical Therapist | 10648 Park Rd, Charlotte, NC 28210-8407 | 2015-01-26 |
| 1023416229 | Kimberly Aronson | Occupational Therapist | 10648 Park Rd, Charlotte, NC 28210-8407 | 2014-12-21 |
| 1306243654 | Tara Brown | Occupational Therapist | 10648 Park Rd, Charlotte, NC 28210-8407 | 2014-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952624512 | Strump Chiropractic and Health | Rehabilitation Unit | 2102 Cambridge Beltway Dr, Ste. D1, Charlotte, NC 28273-3381 | 2010-03-10 |
| 1962987131 | The Charlotte-mecklenburg Hospital Authority | Rehabilitation Unit | 10648 Park Rd, Charlotte, NC 28210-8407 | 2018-10-03 |
| 1699704874 | Presbyterian Orthopaedic Hospital, LLC | Rehabilitation Unit | 120 Providence Rd, Charlotte, NC 28207-1218 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578916003 | Executive Medical Transportation, Ltd | Rehabilitation Unit | 222 Mill Creek Rd, Pollocksville, NC 28573-9312 | 2016-07-20 |
| 1043528763 | Aware Physical Therapy,llc | Rehabilitation Unit | 2803 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2010-09-15 |
| 1952359036 | Nash Hospitals Inc | Rehabilitation Unit | 2400 Medpark Dr, Rocky Mount, NC 27804 | 2006-05-04 |
| 1205225646 | Duke University Health System Inc | Rehabilitation Unit | 5213 S Alston Ave, Durham, NC 27713-4430 | 2015-01-22 |
| 1255675252 | Mission Hospitals | Rehabilitation Unit | 61 Bingham Rd Apt 30a, Asheville, NC 28806-3855 | 2012-11-15 |
| 1093099582 | Dlp Maria Parham Medical Center LLC | Rehabilitation Unit | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2011-10-03 |
| 1942439872 | Eileen Riehman Pt, LLC | Rehabilitation Unit | 200 Asheland Ave, Suite 200, Asheville, NC 28801-4016 | 2009-07-13 |
| 1801098488 | Brooks Leigh Bentley | Rehabilitation Unit | 16405 Northcross Dr, Suiteg-2, Huntersville, NC 28078-5091 | 2007-06-05 |
| 1073714606 | Moses Cone Health System | Rehabilitation Unit | 1200 N Elm St, Greensboro, NC 27401-1004 | 2007-05-30 |
| 1245358357 | Carolinaeast Medical Center | Rehabilitation Unit | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2007-03-27 |
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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.