Organization Active NPI

Mercy Care Home

  • Home Health Agency
  • Minnetonka, MN
National Provider Identifier
1902361280
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERCY CARE HOME
Doing business as
Mercy Care Home
Practice address
5005 Woodland Rd
Minnetonka, MN 55345-4520
Phone
(612) 226-0533
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Musa H Jimaale
Title
Management
Phone
(612) 226-0533

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Assisted Living Facility 310400000X

Addresses

Primary practice location

5005 Woodland Rd
Minnetonka, MN 55345-4520

Mailing address

5005 Woodland Rd
Minnetonka, MN 55345-4520
Phone (612) 226-0533

Other names 1

  • Mercy Care Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2168994Mercy Care Home5005 Woodland Rd, Minnetonka, MN 55345Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1902361280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 WOODLAND RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454520",
            "telephone_number": "612-226-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 WOODLAND RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454520",
            "telephone_number": "612-226-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "JIMAALE",
        "authorized_official_first_name": "MUSA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "612-226-0533"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.