- Enrollment id
- O20040102000247
- Enrollment state
- PA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1467412296
- Multiple npi flag
- N
- Ccn
- 397015
- Associate id
- 6406755172
- Organization name
- MERCY HOME HEALTH
- Incorporation date
- 1945-10-26
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 41 UNIVERSITY DR
- Address line 2
- STE 103
- City
- NEWTOWN
- State
- PA
- Zip code
- 189401873