Healthcare Provider Details

I. General information

NPI: 1750206306
Provider Name (Legal Business Name): FILLING MEMORIAL HOME OF MERCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N-160 ST. RT. 108
NAPOLEON OH
43545
US

IV. Provider business mailing address

N-160 ST. RT. 108
NAPOLEON OH
43545
US

V. Phone/Fax

Practice location:
  • Phone: 419-592-6451
  • Fax:
Mailing address:
  • Phone: 419-592-6451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: TERRI RODRIGUEZ
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 419-704-8983