Provider Demographics
NPI:1417967233
Name:MERCI'S HOME CORP.
Entity Type:Organization
Organization Name:MERCI'S HOME CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUIAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-443-2894
Mailing Address - Street 1:4291 SW 9TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2625
Mailing Address - Country:US
Mailing Address - Phone:305-443-8294
Mailing Address - Fax:305-448-3729
Practice Address - Street 1:4291 SW 9TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134-2625
Practice Address - Country:US
Practice Address - Phone:305-443-8294
Practice Address - Fax:305-448-3729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL674566100Medicaid
FL140584500Medicaid