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MERCY LIFE
NPI 1104199850
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in West Springfield, MA

Active since February 10, 2012CLIA 22D2037007 · Waiver
2112 RIVERDALE ST, WEST SPRINGFIELD, MA 01089(413) 539-2917 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mercy Life NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY LIFE (NPI 1104199850) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in West Springfield, Massachusetts and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 16, 2028 and lists Christopher Mclaughlin, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1104199850
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameMERCY LIFE, INCORPORATED
Location Address2112 RIVERDALE STWest Springfield, MA 01089-1024
Mailing Address1233 Main StHolyoke, MA 01040-5381
Phone(413) 539-2917
Organization SubpartYesParent: Sisters Of Providence Health System
Authorized OfficialChristopher MclaughlinChief Operating Officer · (413) 539-2917
Enumeration DateFebruary 10, 2012
✔ NPI 1104199850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
2112 RIVERDALE ST, West Springfield, MA 01089
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Other Names 1

Doing Business AsMercy Life

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2037007

Mercy Life Inc · West Springfield, MA
Active · expires Feb 16, 2028
CLIA Number22D2037007
Laboratory TypePace Program
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDawn Szymczyk
Laboratory Phone(413) 748-7223
Laboratory LocationMercy Life Inc200 Hillside Circle, Ste 1, West Springfield, MA 01089
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIELS W CUDNOHUFSKY LICSW, MSW
Social Worker (Clinical)
2112 RIVERDALE ST
W SPRINGFIELD, MA 01089
Hampden County (413) 788-7366
SHARON L SUMMERS RN
Registered Nurse (Psychiatric/Mental Health)
2112 RIVERDALE ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 827-4209
DR. SARAH LAMBDIN PH.D.
Psychologist
2112 RIVERDALE ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 827-4269
MRS. JOSEPHINE CASSIDY-QUINN LICSW, LADC
Counselor (Addiction (Substance Use Disorder))
2112 RIVERDALE ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 827-4269
BRIGHTSIDE FOR FAMILIES AND CHILDREN
Community/Behavioral Health
2112 RIVERDALE ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 827-4210
LISA A PERRY LMHC
Counselor (Mental Health)
2112 RIVERDALE ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 827-4294
MS. TATYANA NIKITINA MSW
Social Worker (Clinical)
2112 RIVERDALE ST
WEST SPRINGFIELD, MA 01089
Hampden County (413) 827-9998
BRIGHTSIDE FOR FAMILIES AND CHILDREN
Point of Service
2112 RIVERDALE ST
W SPRINGFIELD, MA 01089
Hampden County (413) 788-7366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Life, Incorporated's NPI number?

The NPI number for Mercy Life, Incorporated is 1104199850. It was assigned to this organization in the NPPES registry on February 10, 2012. The provider is doing business as Mercy Life.

Where is Mercy Life, Incorporated located?

Mercy Life, Incorporated is located at 2112 Riverdale St, West Springfield, MA 01089. The listed phone number is (413) 539-2917.

What is Mercy Life, Incorporated's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Mercy Life, Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2037007) is associated with this NPI, valid through February 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mercy Life, Incorporated was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.