Angels of Mercy Homecare Services; Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

337702 Issued in MN

Legal business name

ANGELS OF MERCY HOMECARE SERVICES; INC.

Practice address

6018 Halifax Place North
Brooklyn Center, MN 55429-2404

Phone

(763) 432-9706

Fax

(763) 432-9708

NPI assigned

Nov 4, 2007

Last updated

Mar 9, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

ANGELS OF MERCY HOMECARE SERVICES; INC.As reported in NPPES

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

Authorized official

Name

Mr. Foluso Ayotunku Allison

Title

Administrator

Phone

(763) 432-9706

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Angels of Mercy Former legal business name

Tax ID family

Angels of Mercy Homecare Services Inc2 organizations share this tax ID, including this one

Part of

Angels of Mercy Homecare Services Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Angels of Mercy Homecare Services; Inc.

  • Home Health Agency
  • Brooklyn Center, MN
  • NPI 1396980793
  NPD tax ID

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1366622615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 HALIFAX PL",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292440",
            "telephone_number": "763-432-9706",
            "fax_number": "763-432-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 HALIFAX PLACE NORTH",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292404",
            "telephone_number": "763-432-9706",
            "fax_number": "763-432-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF MERCY HOMECARE SERVICES; INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELS OF MERCY HOMECARE SERVICES; INC.",
        "enumeration_date": "2007-11-04",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "FOLUSO",
        "authorized_official_middle_name": "AYOTUNKU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-432-9706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "335882",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "337702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOUSING WITH SERVICES",
            "identifier": "HWS25116",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "A432120000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP PROVIDER #",
            "identifier": "924670300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS A PROFESSIONAL HOME CARE AGENCY",
            "identifier": "335882",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A432120000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels of Mercy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Darrell Anderson
• Jessica Leigh Anderson, LICSW
• Kayla Anderson
• Mariah Anderson
• Angels Health & Home Care SVCS Inc
• Angels of Mercy Homecare Services; Inc.
• Samantha Anttila
• Arden Homes LLC
• Carolina M Arguello
• Arlucent LLC

• Skilled Nursing Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.