Organization Active NPI

Mercy Home Care LTD

  • Home Health Agency
  • Burnsville, MN
National Provider Identifier
1669909818
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1084488-1-HCBS Issued in MN
Legal business name
MERCY HOME CARE LTD
Practice address
1020 E 146TH St Ste 220D
Burnsville, MN 55337
Phone
(952) 378-1323
Fax
(952) 658-6798
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Kassim Sheikh Mohamed
Title
Ceo
Phone
(952) 737-2945

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1084488-1-HCBS MN Primary
Community Based Hospice Care Agency 251G00000X 1084488-1-HCBS MN
Nursing Care Agency 251J00000X 1084488-1-HCBS MN
PACE Provider Organization 251T00000X 1084488-1-HCBS MN
In Home Supportive Care Agency 253Z00000X 1084488-1-HCBS MN

Addresses

Primary practice location

1020 E 146TH St Ste 220D
Burnsville, MN 55337

Mailing address

1020 E 146TH St Ste 220D
Burnsville, MN 55337-6757
Phone (952) 378-1323

Other names 1

  • Mercy Home Care Ltd Doing business as

National Provider Directory

National Provider Directory

Locations

1020 E 146th St
Ste 220D
Burnsville, MN 55337
Phone (952) 378-1323

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1669909818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E 146TH ST STE 220D",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376757",
            "telephone_number": "952-378-1323",
            "fax_number": "952-658-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 146TH ST STE 220D",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-378-1323",
            "fax_number": "952-658-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "KASSIM",
        "authorized_official_middle_name": "SHEIKH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-737-2945"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "1084488-1-HCBS",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "1084488-1-HCBS",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MN",
            "license": "1084488-1-HCBS",
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MN",
            "license": "1084488-1-HCBS",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "1084488-1-HCBS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Care Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.