Mercyhomes,LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MERCYHOMES,LLC

Practice address

1103 Rich River Way
New Richmond, WI 54017-6751

Phone

(612) 248-1261

NPI assigned

Apr 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maryam Nur Osman

Title

Administrator

Phone

(612) 248-1261

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1205689544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889",
            "telephone_number": "612-248-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 RICH RIVER WAY",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540176751",
            "telephone_number": "612-248-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYHOMES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_middle_name": "NUR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-248-1261"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen M Medini, MD
• Kevin Neal Melby, RPH
• Michael J Melby, MD
• Neal A Melby, MD
• Wendy Melchert, RN
• Craig Allen Mescher
• Raeann Mevissen, RN
• Midwest Addiction Treatment Services LLC
• Midwest Ridesource LLC
• John Lee Mike, DDS

• Adult Care Home Facility in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.