Mercy Life

LBN: St. Agnes Continuing Care Center
Mercy Life is an health care organization with primary practice located at 1930 S Broad St , Philadelphia PA 19145-2328. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. St. Agnes Continuing Care Center can be contacted via phone (215) 339-4563, or through Bradley, Joseph via phone (610) 567-6770.

Contact Information

Primary practice address
1930 S Broad St Philadelphia PA 19145-2328
Phone: (215) 339-4563
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Joseph CPA
Phone: (610) 567-6770

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X H3919 Pennsylvania

Profile Details

NPI number 1174881627
LBN Legal business name St. Agnes Continuing Care Center
DBA Doing business as Mercy Life
Authorized official Bradley, Joseph CPA
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2012
Last updated May 2nd, 2012 - about 12 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 1174881627 NPPES
Pennsylvania Other H3919 H NUMBER

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