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MERCY HOME ASSISTED LIVING FACILITY LLC
NPI 1306249149
Assisted Living Facility in Lake City, FL

Active since October 08, 2014
184 S.E. BEECH STREET, LAKE CITY, FL 32025(386) 487-5029(386) 487-5029 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercy Home Assisted Living Facility Llc NPPES

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

MERCY HOME ASSISTED LIVING FACILITY LLC (NPI 1306249149) is a healthcare organization registered as an assisted living facility in Lake City, Florida and active in the NPI registry since October 2014. The organization lists Clara Lee Ferguson, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1306249149
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMERCY HOME ASSISTED LIVING FACILITY LLC
Location Address184 S.E. BEECH STREETLake City, FL 32025
Mailing Address184 S.e. Beech StreetLake City, FL 32025 · (386) 487-5029 · Fax (386) 487-5029
Phone(386) 487-5029
Fax(386) 487-5029
Organization SubpartNo
Authorized OfficialClara Lee FergusonAdministrator/owner · (386) 487-5029
Enumeration DateOctober 8, 2014
Last NPPES UpdateOctober 13, 2014
✔ NPI 1306249149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL12314
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
184 S.E. BEECH STREET, Lake City, FL 32025
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Other Identifiers 1

Medicaid009258500FL

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 Home Assisted Living Facility LLC's NPI number?

The NPI number for Mercy Home Assisted Living Facility LLC is 1306249149. It was assigned to this organization in the NPPES registry on October 8, 2014.

Where is Mercy Home Assisted Living Facility LLC located?

Mercy Home Assisted Living Facility LLC is located at 184 S.E. Beech Street, Lake City, FL 32025. The listed phone number is (386) 487-5029.

What is Mercy Home Assisted Living Facility LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Mercy Home Assisted Living Facility LLC was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.