Healthcare Provider Details

I. General information

NPI: 1003821745
Provider Name (Legal Business Name): MERCY SENIOR CARE, INC,.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 W 3RD ST SW
ROME GA
30165-2802
US

IV. Provider business mailing address

PO BOX 866
ROME GA
30162-0866
US

V. Phone/Fax

Practice location:
  • Phone: 706-291-8496
  • Fax: 706-295-5956
Mailing address:
  • Phone: 706-291-8496
  • Fax: 706-295-5953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number057R0005
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RITA LAWLER
Title or Position: DIRECTOR
Credential:
Phone: 706-291-8496