Provider Demographics
NPI:1801379748
Name:MERCY HOSPICE, INC.
Entity Type:Organization
Organization Name:MERCY HOSPICE, INC.
Other - Org Name:MERCY HOSPICE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/ DPCS
Authorized Official - Prefix:MR
Authorized Official - First Name:EUSEBIO
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:JR
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:818-572-7650
Mailing Address - Street 1:2623 F ST STE H
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1837
Mailing Address - Country:US
Mailing Address - Phone:661-473-0925
Mailing Address - Fax:
Practice Address - Street 1:2623 F ST STE H
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1837
Practice Address - Country:US
Practice Address - Phone:661-473-0925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based