Provider Demographics
NPI:1962675835
Name:MERCY STEPS HOME CARE, INC.
Entity Type:Organization
Organization Name:MERCY STEPS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/INTAKE COORDINATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMOR
Authorized Official - Middle Name:
Authorized Official - Last Name:KINAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-651-1536
Mailing Address - Street 1:28091 DEQUINDRE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3047
Mailing Address - Country:US
Mailing Address - Phone:586-651-1536
Mailing Address - Fax:586-274-2951
Practice Address - Street 1:28091 DEQUINDRE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3047
Practice Address - Country:US
Practice Address - Phone:586-651-1536
Practice Address - Fax:586-274-2951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherITIN