Provider Demographics
NPI:1922057165
Name:MERCY HANDS HOME CARE, INC.
Entity Type:Organization
Organization Name:MERCY HANDS HOME CARE, INC.
Other - Org Name:TWENTY FOUR SEVEN HOME CARE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AHTISHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-556-4000
Mailing Address - Street 1:PO BOX 2407
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-1407
Mailing Address - Country:US
Mailing Address - Phone:734-556-4000
Mailing Address - Fax:
Practice Address - Street 1:20600 EUREKA ROAD
Practice Address - Street 2:SUITE 711
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-5376
Practice Address - Country:US
Practice Address - Phone:734-556-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-06
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237656Medicare ID - Type UnspecifiedMEDICARE