Healthcare Provider Details

I. General information

NPI: 1477474641
Provider Name (Legal Business Name): MERC SUPPORTED LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 E BEAUMONT RD
COLUMBUS OH
43224-2228
US

IV. Provider business mailing address

PO BOX 2796
COLUMBUS OH
43216-2796
US

V. Phone/Fax

Practice location:
  • Phone: 614-980-4807
  • Fax:
Mailing address:
  • Phone: 614-980-4807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: CHERYL BLAZEK
Title or Position: CEO
Credential:
Phone: 614-980-4807