Provider Demographics
NPI:1730938556
Name:MERCY ANGELS HOSPICE
Entity type:Organization
Organization Name:MERCY ANGELS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-288-5487
Mailing Address - Street 1:7212 N SHADELAND AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2030
Mailing Address - Country:US
Mailing Address - Phone:317-288-5487
Mailing Address - Fax:888-531-4280
Practice Address - Street 1:7212 N SHADELAND AVE STE 209
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2030
Practice Address - Country:US
Practice Address - Phone:317-288-5487
Practice Address - Fax:888-531-4280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based