MERCY LIFE
NPI 1174881627
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Philadelphia, PA

NPI Status: Active since May 02, 2012

Contact Information

1930 S BROAD ST
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 339-4563

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About MERCY LIFE

This page provides the complete NPI Profile along with additional information for Mercy Life, a provider established in Philadelphia, Pennsylvania operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1174881627 assigned on May 2012. The practitioner's primary taxonomy code is 251T00000X with license number H3919 (PA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Mercy Life. The authorized official of this NPI record is Mr. Joseph Bradley Cpa (Svp Of Finance)

NPI
1174881627
Provider Legal Name
ST. AGNES CONTINUING CARE CENTER
Other Organization Name
MERCY LIFE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1930 S BROAD ST PHILADELPHIA, PA 19145
Location Phone
(215) 339-4563
Mailing Address
1930 S BROAD ST PHILADELPHIA, PA 19145
Mailing Phone
(215) 339-4563
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2012
Last Update Date
05-02-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
License No.
H3919
License State
PA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOSEPH BRADLEY CPA

Authorized Official Title
SVP OF FINANCE
Authorized Official Phone
(610) 567-6770

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H3919OTHER (01)PAH NUMBER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174881627, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 6 + 8 + 2 + 6 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1174881627.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
1930 S BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19145
Pediatrics
1930 S BROAD ST, UNIT 5
PHILADELPHIA, PA 19145
Pediatrics
1930 S BROAD ST, UNIT 5
PHILADELPHIA, PA 19145
Pediatrics
1930 S BROAD ST, UNIT 5
PHILADELPHIA, PA 19145
Pediatrics
1930 S BROAD ST, UNIT 5
PHILADELPHIA, PA 19145
Pediatrics
1930 S BROAD ST, UNIT 5
PHILADELPHIA, PA 19145
Pediatrics
1930 S BROAD ST, UNIT 5
PHILADELPHIA, PA 19145
Pediatrics
1930 S BROAD ST, UNIT 5
PHILADELPHIA, PA 19145
Pediatrics
1930 S BROAD ST, UNIT 5
PHILADELPHIA, PA 19145
Registered Nurse (Gerontology)
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse (Home Health)
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse (Continuing Education/Staff Development)
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Recreation Therapist
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174881627, enumerated as an "organization" on May 02, 2012.

The provider is located at 1930 S BROAD ST PHILADELPHIA, PA 19145 and the phone number is (215) 339-4563.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.