Mercy Home Assisted Living Facility Llc

LBN: Mercy Home Assisted Living Facility Llc
Mercy Home Assisted Living Facility Llc is an health care organization with primary practice located at 184 S.E. Beech Street , Lake City FL 32025. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Mercy Home Assisted Living Facility Llc can be contacted via phone (386) 487-5029, or through Ferguson, Clara Lee via phone (386) 487-5029.

Contact Information

Primary practice address
184 S.E. Beech Street Lake City FL 32025
Phone: (386) 487-5029
Fax: (386) 487-5029
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Clara Lee
Phone: (386) 487-5029

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12314 Florida

Profile Details

NPI number 1306249149
LBN Legal business name Mercy Home Assisted Living Facility Llc
DBA Doing business as
Authorized official Ferguson, Clara Lee
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2014
Last updated Oct 13th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306249149 NPPES
Florida MEDICAID 009258500

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