Provider Demographics
NPI:1770016628
Name:MERCER ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:MERCER ADULT DAY CARE LLC
Other - Org Name:MERCER ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHIRAYU
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-721-1170
Mailing Address - Street 1:911 ARENA DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-3409
Mailing Address - Country:US
Mailing Address - Phone:609-888-4141
Mailing Address - Fax:
Practice Address - Street 1:1132 MORNING GLORY DR
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-5350
Practice Address - Country:US
Practice Address - Phone:609-721-1170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home