Provider Demographics
NPI:1831921816
Name:MERCY HEALTH CARE SYSTEMS CORPORATION
Entity type:Organization
Organization Name:MERCY HEALTH CARE SYSTEMS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABIODUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-837-2865
Mailing Address - Street 1:424 WATERS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-2170
Mailing Address - Country:US
Mailing Address - Phone:405-837-2865
Mailing Address - Fax:
Practice Address - Street 1:424 WATERS LANDING DR
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-2170
Practice Address - Country:US
Practice Address - Phone:405-837-2865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty