Provider Demographics
NPI:1558022699
Name:MERCYLAND HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:MERCYLAND HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLAYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLABAMIJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-831-5365
Mailing Address - Street 1:2901 WILCREST DR STE 139
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3359
Mailing Address - Country:US
Mailing Address - Phone:832-831-5365
Mailing Address - Fax:346-335-3189
Practice Address - Street 1:2901 WILCREST DR STE 139
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3359
Practice Address - Country:US
Practice Address - Phone:832-831-5365
Practice Address - Fax:346-335-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based