Active NPI
Mercy Home Care LTD
- Home Health Agency
- Burnsville, MN
National Provider Identifier
1669909818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1084488-1-HCBS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.