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

Active since May 02, 2012
1930 S BROAD ST, PHILADELPHIA, PA 19145(215) 339-4563 Get Directions Write a Review

NPPES record last updated: May 2, 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 1174881627) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Philadelphia, Pennsylvania and active in the NPI registry since May 2012. The organization lists Joseph Bradley, Svp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1174881627
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameST. AGNES CONTINUING CARE CENTER
Location Address1930 S BROAD STPhiladelphia, PA 19145-2328
Mailing Address1930 S Broad StPhiladelphia, PA 19145-2328 · (215) 339-4563
Phone(215) 339-4563
Organization SubpartNo
Authorized OfficialJoseph BradleySvp Of Finance · (610) 567-6770
Enumeration DateMay 2, 2012
✔ NPI 1174881627 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
License✔ Licensed in PA · H3919
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.
1930 S BROAD ST, Philadelphia, PA 19145
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Other Names 1

Doing Business AsMercy Life

Other Identifiers 1

OtherH3919PA · H Number

Other Providers at the Same Location NPPES 20

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

MISS JAQUELINE D INTRIAGO
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
MS. SHEARA YOUNG
Social Worker (Clinical)
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4405
MS. SHINIA BRADLEY RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
AMANDA MICHELLE AYALA COTA
Occupational Therapy Assistant
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (267) 570-5342
DR. NIMESH PATEL MD
Hospitalist
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (267) 570-5200
SITAR ENTERPRISE LLC
Pharmacy (Community/Retail Pharmacy)
1930 S BROAD ST, UNIT 15
PHILADELPHIA, PA 19145
Philadelphia County (215) 661-1211
CHRISTINE MATTEO RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
MRS. PATRICIA ANNE WESTERFER RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563

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 St. Agnes Continuing Care Center's NPI number?

The NPI number for St. Agnes Continuing Care Center is 1174881627. It was assigned to this organization in the NPPES registry on May 2, 2012. The provider is doing business as Mercy Life.

Where is St. Agnes Continuing Care Center located?

St. Agnes Continuing Care Center is located at 1930 S Broad St, Philadelphia, PA 19145. The listed phone number is (215) 339-4563.

What is St. Agnes Continuing Care Center'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.

When was this NPI record last updated?

The NPPES record for St. Agnes Continuing Care Center was last updated on May 2, 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.