Provider Demographics
NPI:1801262217
Name:MERCY LLC
Entity type:Organization
Organization Name:MERCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURILKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-473-9999
Mailing Address - Street 1:4445 W 77TH ST
Mailing Address - Street 2:SUITE 232
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-473-9999
Mailing Address - Fax:952-248-7106
Practice Address - Street 1:4445 W 77TH ST
Practice Address - Street 2:SUITE 232
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-473-9999
Practice Address - Fax:952-248-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)