MERCY HOME ASSISTED LIVING FACILITY LLC


Address: 184 S.e. Beech Street, Lake City, FL 32025
Phone: 3864875029

MERCY HOME ASSISTED LIVING FACILITY LLC (NPI# 1306249149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306249149
Entity Type Organization
Organization Name MERCY HOME ASSISTED LIVING FACILITY LLC
Practice Address 184 S.e. Beech Street
Lake City
FL 32025
Practice Telephone 3864875029
Practice Fax Number 3864875029
Mailing Telephone 3864875029
Mailing Fax Number 3864875029
Enumeration Date 2014-10-08
Last Update Date 2014-10-13
Authorized Official Name MRS. CLARA LEE FERGUSON (ADMINISTRATOR/OWNER)
Authorized Official Telephone 3864875029
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility AL12314 FL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 009258500 05

Office Location

Street Address 184 S.E. BEECH STREET
City LAKE CITY
State FL
Zip Code 32025

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801438353 Jennifer Bennett Pharmacist 347 Sw Main Blvd Suite 102, Lake City, FL 32025 2019-10-16
1700352838 Robert J Sansouci IIi IIi Physical Therapy Assistant 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 2018-10-16
1316442783 Emily Bailey Developmental Therapist 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 2018-03-28
1811446370 Michelle Hart Behavioral Analyst 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 2016-09-26
1922467646 Irene Aponte Moreno Nurse Practitioner 440 Sw Perimeter Glen, Lake City, FL 32025 2016-02-23
1093186777 Decarlos Scippio Counselor 619 Sw Baya Drive Suite 102, Lake City, FL 32025 2015-10-07
1497132476 Jamecia Legree Registered Nurse 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 2015-04-29
1598174344 Karen Mcdonald Developmental Therapist 4523 Se County Road 252, Lake City, FL 32025 2014-08-06
1275944126 Mohammad Ali Faisal Mdpa Specialist 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 2014-05-14
1003226887 Tiffany Denise Watson Nurse's Aide 733 Sw Cr 242-a, Lake City, FL 32025 2014-05-02
Find all providers in zip 32025

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235745753 Shenay Fulton Assisted Living Facility 536 Nw Shelby Ter, Lake City, FL 32055-3280 2020-09-21
1265071153 Serenity Hill Assisted Living Facility Assisted Living Facility 3534 230th Ter, Lake City, FL 32024-2714 2019-12-25
1902447527 Harper Lake Operations, LLC Assisted Living Facility 213 Nw Gleason Dr, Lake City, FL 32055-5846 2019-10-04
1598247009 Mardell Jackson Assisted Living Facility 197 Nw Gwen Lake Ave, Lake City, FL 32055-3711 2018-08-30
1114420502 Ets Willowbrook At Marion Assisted Living Facility 1580 S Marion Ave, Lake City, FL 32025-6913 2018-03-13
1467878454 Hendrix, Smith, & Kirby LLC D/b/a Eastside Care Alf Assisted Living Facility 152 Se Defender Dr, Lake City, FL 32025-4990 2014-03-14
1881010072 Summers Assisted Living Facility Assisted Living Facility 1225 Sw Grandview St, Lake City, FL 32025-0740 2014-03-12
1366866097 Clara Ferguson I Assisted Living Facility 184 Se Beech St, Lake City, FL 32025-4982 2014-02-17
1417383241 The Plantation On Summers LLC Assisted Living Facility 147 Sw Summers Ln, Lake City, FL 32025-0762 2013-09-25
1417392150 Douglas Assisted Living Facility Assisted Living Facility 769 Ne Gurley Ave, Lake City, FL 32055-2453 2013-05-08
Find all providers in LAKE CITY

Competitor

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City LAKE CITY
Zip Code 32025

Improve Information

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Dataset Information

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.

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