Active NPI
Mercy Link, LLC
- Home Health Agency
- Burnsville, MN
National Provider Identifier
1740657204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MERCY LINK, LLC
- Practice address
- 13005 Salem PL
Burnsville, MN 55337 - Phone
- (952) 856-2206
- Fax
- (952) 222-5418
- NPI assigned
- Aug 31, 2015
- 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
- Abdurahman Warsama Jama
- Title
- Manager
- Phone
- (952) 288-1135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
13005 Salem PL
Burnsville, MN 55337
Mailing address
7400 Metro Blvd Ste 150
Edina, MN 55439-2301
Phone (952) 222-5477
Other practice location 1
3401 W 135th St
Burnsville, MN 55337-5533
Phone (952) 405-6729
Other practice location 2
3149 Columbus Ave
Minneapolis, MN 55407
Phone (612) 208-1683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740657204 | Medicaid | MN |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Edina | ||
| CONNECT URL | Edina | ||
| CONNECT URL | Edina | ||
| CONNECT URL | Edina |
National Provider Directory
National Provider DirectoryLocations
7400 Metro Blvd
Ste 150
Minneapolis, MN 55439
Phone (529) 222-5477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Edina, MN
- NPI 1932575636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588636800000",
"number": "1740657204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 METRO BLVD STE 150",
"city": "EDINA",
"state": "MN",
"postal_code": "554392301",
"telephone_number": "952-222-5477",
"fax_number": "952-222-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13005 SALEM PL",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55337",
"telephone_number": "952-856-2206",
"fax_number": "952-222-5418"
}
],
"practiceLocations": [
{
"address_1": "3401 W 135th St",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553375533",
"country_code": "US",
"telephone_number": "952-405-6729",
"fax_number": "952-222-5418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3149 Columbus Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55407",
"country_code": "US",
"telephone_number": "612-208-1683",
"fax_number": "952-222-5418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MERCY LINK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-31",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A",
"authorized_official_last_name": "JAMA",
"authorized_official_first_name": "ABDURAHMAN",
"authorized_official_middle_name": "WARSAMA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "952-288-1135"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740657204",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Edina",
"affiliation": "N",
"address_1": "7400 Metro Blvd Ste 150",
"city": "Edina",
"state": "MN",
"country_code": "US",
"postal_code": "554392301",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Edina",
"affiliation": "N",
"address_1": "7400 Metro Blvd Ste 150",
"city": "Edina",
"state": "MN",
"country_code": "US",
"postal_code": "554392301",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Edina",
"affiliation": "N",
"address_1": "7400 Metro Blvd Ste 150",
"city": "Edina",
"state": "MN",
"country_code": "US",
"postal_code": "554392301",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Edina",
"affiliation": "N",
"address_1": "7400 Metro Blvd Ste 150",
"city": "Edina",
"state": "MN",
"country_code": "US",
"postal_code": "554392301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.