Provider Demographics
NPI:1164879557
Name:MERCY HOME HEALTH CARE
Entity Type:Organization
Organization Name:MERCY HOME HEALTH CARE
Other - Org Name:MERCY HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDIKARIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:KARSHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-217-3651
Mailing Address - Street 1:1672 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-3426
Mailing Address - Country:US
Mailing Address - Phone:414-217-3651
Mailing Address - Fax:414-616-1499
Practice Address - Street 1:1672 S 9TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-3426
Practice Address - Country:US
Practice Address - Phone:414-217-3651
Practice Address - Fax:414-616-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIPCA 275251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health