Provider Demographics
NPI:1629787775
Name:MERCIFUL HOME CARE LLC
Entity Type:Organization
Organization Name:MERCIFUL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUSIF
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ALSHUWAILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-318-2421
Mailing Address - Street 1:110 MAIN ST STE 1102B
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-3516
Mailing Address - Country:US
Mailing Address - Phone:207-318-2421
Mailing Address - Fax:
Practice Address - Street 1:110 MAIN ST STE 1102B
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-3516
Practice Address - Country:US
Practice Address - Phone:207-318-2421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty