Provider Demographics
NPI:1235663097
Name:MERCY HOME CARE AGENCY L.L.C.
Entity Type:Organization
Organization Name:MERCY HOME CARE AGENCY L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRABAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-948-3441
Mailing Address - Street 1:3632 CARLSBAD WAY
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3580
Mailing Address - Country:US
Mailing Address - Phone:214-422-4509
Mailing Address - Fax:
Practice Address - Street 1:3632 CARLSBAD WAY
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3580
Practice Address - Country:US
Practice Address - Phone:214-422-4509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care