Provider Demographics
NPI:1396557757
Name:MERCI O' MERCI CARE LLC
Entity type:Organization
Organization Name:MERCI O' MERCI CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OSASERE
Authorized Official - Middle Name:A
Authorized Official - Last Name:AIGBOVBIOSA OGIEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-773-8913
Mailing Address - Street 1:4426 STARLING HAVEN LN
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-3300
Mailing Address - Country:US
Mailing Address - Phone:281-773-8913
Mailing Address - Fax:
Practice Address - Street 1:4426 STARLING HAVEN LN
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-3300
Practice Address - Country:US
Practice Address - Phone:281-773-8913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities