Provider Demographics
NPI:1740808757
Name:MERCY VASITY HEALTHCARE SYSTEMS LLC
Entity type:Organization
Organization Name:MERCY VASITY HEALTHCARE SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-459-0398
Mailing Address - Street 1:914 LAFAYETTE BLVD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-1489
Mailing Address - Country:US
Mailing Address - Phone:567-525-0950
Mailing Address - Fax:
Practice Address - Street 1:44 HILLWYCK DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-5814
Practice Address - Country:US
Practice Address - Phone:567-525-0950
Practice Address - Fax:419-373-0248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health