Provider Demographics
NPI:1144230145
Name:UPMC MERCY
Entity Type:Organization
Organization Name:UPMC MERCY
Other - Org Name:MERCY HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GERALYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:412-232-5959
Mailing Address - Street 1:1400 LOCUST ST
Mailing Address - Street 2:3 ST ANN CENTER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219
Mailing Address - Country:US
Mailing Address - Phone:412-232-5959
Mailing Address - Fax:412-232-3003
Practice Address - Street 1:1400 LOCUST ST
Practice Address - Street 2:3 FLOOR ST ANN CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5114
Practice Address - Country:US
Practice Address - Phone:412-232-5959
Practice Address - Fax:412-232-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01582358Medicaid
PA01582358Medicaid