NPIMap

Organization Active NPI

Mercy Living

  • Community/Behavioral Health Agency
  • Eagan, MN
National Provider Identifier
1811779424
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MERCY LIVING
Practice address
4805 Waterview TRL
Eagan, MN 55123-2184
Phone
(952) 426-5523
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Hamze Mohamed AhmedNPI 1699632695
Title
Director
Phone
(612) 845-2839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4805 Waterview TRL
Eagan, MN 55123-2184

Mailing address

4805 Waterview TRL
Eagan, MN 55123-2184
Phone (952) 426-5523

National Provider Directory

National Provider Directory

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": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1811779424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 WATERVIEW TRL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232184",
            "telephone_number": "952-426-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 WATERVIEW TRL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232184",
            "telephone_number": "952-426-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "HAMZE",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-845-2839"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.