Organization Active NPI

Mercy Home Health

  • Home Health Agency
  • St Anthony, MN
National Provider Identifier
1215398904
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HFID32193 Issued in MN
Legal business name
MERCY HOME HEALTH
Practice address
3055 Old Highway 8 Ste 101H
Saint Anthony, MN 55418-2500
Phone
(612) 703-6932
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Abdirahman Abdi, RN
Title
Don
Phone
(612) 703-6932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HFID32193 MN Primary

Addresses

Primary practice location

3055 Old Highway 8 Ste 101H
Saint Anthony, MN 55418-2500

Mailing address

3055 Old Highway 8 Ste 101H
Saint Anthony, MN 55418-2500
Phone (612) 703-6932

Other identifiers 1

IdentifierTypeStateIssuer
HFID32193OtherMNSTATE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1215398904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 101H",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-703-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 101H",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-703-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "612-703-6932",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "HFID32193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "HFID32193",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.