Provider Demographics
NPI:1184657322
Name:MERCY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:MERCY HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUKWUKA
Authorized Official - Middle Name:GREG
Authorized Official - Last Name:NWOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-907-1500
Mailing Address - Street 1:9221 LYNDON B JOHNSON FWY
Mailing Address - Street 2:SUITE #220
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3455
Mailing Address - Country:US
Mailing Address - Phone:972-907-1500
Mailing Address - Fax:972-907-1502
Practice Address - Street 1:9221 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE #220
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3455
Practice Address - Country:US
Practice Address - Phone:972-907-1500
Practice Address - Fax:972-907-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004102251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX678204Medicare Oscar/Certification