Organization Active NPI

Mercy Home Care LLC

  • In Home Supportive Care Agency
  • Windham, ME
National Provider Identifier
1366165268
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MERCY HOME CARE LLC
Practice address
7 Dartmouth PL
Windham, ME 04062-5053
Phone
(207) 303-9000
NPI assigned
Sep 26, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Abdulah Alshuwayil
Title
Owner
Phone
(207) 303-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7 Dartmouth PL
Windham, ME 04062-5053

Mailing address

7 Dartmouth PL
Windham, ME 04062-5053
Phone (207) 303-9000

Other identifiers 1

IdentifierTypeStateIssuer
1366165268MedicaidME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1366165268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DARTMOUTH PL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625053",
            "telephone_number": "207-303-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DARTMOUTH PL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625053",
            "telephone_number": "207-303-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "ALSHUWAYIL",
        "authorized_official_first_name": "ABDULAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-303-9000"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366165268",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.