Organization Active NPI

Mercy Link, LLC

  • Home Health Agency
  • Burnsville, MN
National Provider Identifier
1740657204
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 5, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1740657204MedicaidMN

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Edina
CONNECT URL Edina
CONNECT URL Edina
CONNECT URL Edina

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.