Provider Demographics
NPI:1407188543
Name:MERCRIS HOME HEALTH INC
Entity Type:Organization
Organization Name:MERCRIS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUSOLA-STEPHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-342-1980
Mailing Address - Street 1:6935 GETTYSBURG DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5815
Mailing Address - Country:US
Mailing Address - Phone:281-342-1980
Mailing Address - Fax:281-342-9912
Practice Address - Street 1:6935 GETTYSBURG DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5815
Practice Address - Country:US
Practice Address - Phone:281-342-1980
Practice Address - Fax:281-342-9912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-30
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3806820-01Medicaid