MERCY HEALTH SERVICES (NPI# 1780915868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780915868 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SERVICES |
| Other Organization Name | MERCY HEALTH SERVICES |
| Practice Address |
52 Joyceton Way Upper Marlboro MD 20774-1400 |
| Practice Telephone | 2406021995 |
| Practice Fax Number | 3013334779 |
| Mailing Telephone | 2406021995 |
| Mailing Fax Number | 3013334779 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | KATHERINE JALLOH (ADNIMISTRATOR/OWNER) |
| Authorized Official Telephone | 3017179836 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | R2858R | MD | Agencies |
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 372500000X | Chore Provider | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| mercy health services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184977746 | Mercy Health Services | General Acute Care Hospital | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2012-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MERCY HEALTH SERVICES-IOWA, CORP. | 20555 Victor Parkway, Livonia, MI 48152 |
| Street Address |
52 JOYCETON WAY |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902431877 | Keyante Jaqua Dixon | Chore Provider | 3851 Saint Barnabas Rd Apt T2, Suitland, MD 20746-3239 | 2020-03-11 |
| 1033743745 | Christopher Leander Cook | Chore Provider | 3615 Silver Park Dr Apt 201, Suitland, MD 20746-2933 | 2020-03-03 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1154864387 | Lona Mathis | Chore Provider | 5951 Fisher Rd Apt 101, Temple Hills, MD 20748-5938 | 2016-11-20 |
| 1912454059 | Dionne S Smith | Chore Provider | 1009 Lanvale St, Hagerstown, MD 21740-5237 | 2016-09-07 |
| 1326407115 | Michael Williams | Chore Provider | 20452 Sunbright Ln, Germantown, MD 20874-1088 | 2016-02-22 |
| 1225414618 | Christopher Denton Willis Sr. | Chore Provider | 4472 Federalsburg Hwy, Federalsburg, MD 21632-2203 | 2015-08-07 |
| 1437538709 | Comfort Eze | Chore Provider | 427 Trimblefields Dr, Edgewood, MD 21040-3116 | 2015-05-20 |
| 1093102345 | Virginia Cares, Inc | Chore Provider | 6490 Landover Road, Suite D Rm#6, Cheverly, MD 20785 | 2015-04-23 |
| 1699194878 | Rhonissia Good | Chore Provider | 615 Glen Echo Rd, Frederick, MD 21703-4540 | 2014-04-15 |
| Find all providers with the same taxonomy | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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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.