Merciful Handshome Health Care, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

5451415 Issued in MN

Legal business name

MERCIFUL HANDSHOME HEALTH CARE, INC

Practice address

912 E 24TH St
Suite B208
Minneapolis, MN 55404-3869

Phone

(612) 871-9654

Fax

(612) 871-9654

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hassan Mohammed-Ali Mahamoud

Title

Office Manager

Phone

(612) 483-8338

Specialties & licenses 1

Addresses

Other names 1

• MINNESOTA EXCEL HOME HEALTH CARE, INC Former legal business name

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841410388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E 24TH ST",
            "address_2": "SUITE B208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043869",
            "telephone_number": "612-871-9654",
            "fax_number": "612-871-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E 24TH ST",
            "address_2": "SUITE B208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043869",
            "telephone_number": "612-871-9654",
            "fax_number": "612-871-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCIFUL HANDSHOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHAMOUD",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "MOHAMMED-ALI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-483-8338"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MN",
            "license": "5451415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINNESOTA EXCEL HOME HEALTH CARE, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Peggy Ann Merchak, MA, OTR, CHT
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• Preferred Provider Organization in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Preferred Provider Organization in Minnesota

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