# MERCY RETIREMENT AND CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225029366
- **Authorized official:** MS. ADRIENE IVERSON (CEO)
- **Authorized official phone:** (510) 769-2700

## Contact information

- **Practice address:** 3431 FOOTHILL BLVD, OAKLAND, CA 94601-3129
- **Practice address phone:** (510) 534-8540
- **Practice address fax:** (510) 261-4516
- **Mailing address:** 3431 FOOTHILL BLVD, OAKLAND, CA 94601-3129
- **Mailing address phone:** (510) 534-8540
- **Mailing address fax:** (510) 261-4516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 020000237 | CA | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 06/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55189F | — | CA |