Provider Demographics
NPI:1841410388
Name:MERCIFUL HANDSHOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:MERCIFUL HANDSHOME HEALTH CARE, INC
Other - Org Name:MINNESOTA EXCEL HOME HEALTH CARE, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:MOHAMMED-ALI
Authorized Official - Last Name:MAHAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-483-8338
Mailing Address - Street 1:912 E 24TH ST
Mailing Address - Street 2:SUITE B208
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3869
Mailing Address - Country:US
Mailing Address - Phone:612-871-9654
Mailing Address - Fax:612-871-9654
Practice Address - Street 1:912 E 24TH ST
Practice Address - Street 2:SUITE B208
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3869
Practice Address - Country:US
Practice Address - Phone:612-871-9654
Practice Address - Fax:612-871-9654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5451415305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization