NPIMap

Organization Active NPI

Mercy Mine Homecare Agency

  • Home Health Agency
  • Greensboro, NC
National Provider Identifier
1255762878
Registry record updated Dec 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4639 Issued in NC
Legal business name
MERCY MINE HOMECARE AGENCY
Practice address
2 Baliol CT
Greensboro, NC 27407-6601
Phone
(336) 686-2932
NPI assigned
Dec 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2013

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

Authorized official

Name
Mrs. Mercy Kakhu
Title
Director
Phone
(336) 686-2932

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4639 NC Primary
Nursing Care Agency 251J00000X HC4639 NC
In Home Supportive Care Agency 253Z00000X HC4639 NC

Addresses

Primary practice location

2 Baliol CT
Greensboro, NC 27407-6601

Mailing address

2 Baliol CT
Greensboro, NC 27407-6601
Phone (336) 686-2932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386460800000",
    "number": "1255762878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BALIOL CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076601",
            "telephone_number": "336-686-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALIOL CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076601",
            "telephone_number": "336-686-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MINE HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2013-12-08",
        "status": "A",
        "authorized_official_last_name": "KAKHU",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-686-2932",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4639",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC4639",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2013; 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.