Provider Demographics
NPI:1386644979
Name:MERCY HOME CARE, INC
Entity Type:Organization
Organization Name:MERCY HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:COLETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BED, MSED
Authorized Official - Phone:419-251-8550
Mailing Address - Street 1:2200 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43624-1120
Mailing Address - Country:US
Mailing Address - Phone:419-251-8540
Mailing Address - Fax:419-251-0982
Practice Address - Street 1:2200 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43624-1120
Practice Address - Country:US
Practice Address - Phone:419-251-8540
Practice Address - Fax:419-251-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2062897Medicaid
OH2062897Medicaid