Mercy Care Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MERCY CARE CENTER LLC

Practice address

9012 Tessman Pkwy N
Brooklyn Park, MN 55445

Phone

(763) 269-9996

NPI assigned

May 19, 2025

Last updated

Aug 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ubah KhairehNPI 1003608845

Title

Ceo/Operator

Phone

(763) 269-9996

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ubah Khaireh

  • Nursing Home Administrator
  • Brooklyn Park, MN
  • NPI 1003608845
  NPD Authorized official

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1407648108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 TESSMAN PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 TESSMAN PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445",
            "telephone_number": "763-269-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "KHAIREH",
        "authorized_official_first_name": "UBAH",
        "authorized_official_title_or_position": "CEO/OPERATOR",
        "authorized_official_telephone_number": "763-269-9996"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Supplies & Uniforms - HCD
• Medical Supply and Uniforms
• Holly Ann Meier, MSN, RN, PPCNP-BC
• Melkezedek Care LLC
• Melody Mendiola, MD
• Mercy Health Care LLC
• Mercy Homes LLC
• Kristen Elizabeth Metcalf, PA-C
• Metro Behavioral Consultants PLLC
• Metro Nursing Care Inc

• Assisted Living Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.