NEW MERCYS CARE LLC (NPI# 1720576440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720576440 |
| Entity Type | Organization |
| Organization Name | NEW MERCYS CARE LLC |
| Practice Address |
1458 Rustling Pines Blvd Midway FL 32343-2239 |
| Practice Telephone | 8505709994 |
| Practice Fax Number | 8507655904 |
| Mailing Telephone | 8505709994 |
| Mailing Fax Number | 8507655904 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | SHANIKA BROWN (ADMINISTRATOR) |
| Authorized Official Telephone | 8505709994 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL13159 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020311800 | 05 |
| Street Address |
1458 RUSTLING PINES BLVD |
| City | MIDWAY |
| State | FL |
| Zip Code | 32343-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417442690 | Erika Rochelle Raines | Speech-Language Pathologist | 67 Sand Pine Cir, Midway, FL 32343 | 2018-06-28 |
| 1982007472 | Myishia Reid | Case Manager/Care Coordinator | 324 Mine Road, Midway, FL 32343 | 2014-09-29 |
| 1306194725 | Wenona Allen | Marriage & Family Therapist | 1724 Mlk Blvd, 1724 Mlk, Midway, FL 32343 | 2012-08-15 |
| 1548402134 | Helping Hands of North Florida, Inc. | Community/Behavioral Health | 187 Williams Road, Midway, FL 32343 | 2009-03-30 |
| 1417199795 | Verda Owens | Counselor | 187 Williams Road, Midway, FL 32343 | 2009-04-01 |
| 1679708564 | Christa Nelson | In Home Supportive Care | 277 Knights Road, Midway, FL 32343-0292 | 2009-05-20 |
| 1306320767 | Tangely Maxwell | Clinic/Center | 13 Monroe Creek Dr, Midway, FL 32343-2212 | 2018-09-21 |
| 1063812568 | Elegant Care, LLC | In Home Supportive Care | 1603 Rustling Pines Blvd, Midway, FL 32343-2218 | 2014-09-03 |
| 1255798013 | Cynthia Sharette Brooks | Nurse's Aide | 33870 Blue Star Hwy Apt 706, Midway, FL 32343-2433 | 2016-01-25 |
| 1740423656 | Sukati Lee Miller | Home Health | 33870 Blue Star Hwy Apt 903, Midway, FL 32343-2433 | 2009-04-08 |
| Find all providers in zip 32343 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NEW MERCYS CARE LLC.
| 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.