Provider Demographics
NPI:1457139446
Name:MERCY HOME CARE LLC
Entity type:Organization
Organization Name:MERCY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMILARE
Authorized Official - Middle Name:
Authorized Official - Last Name:EHINOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-847-4284
Mailing Address - Street 1:3399 NICHOL AVE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46011-3001
Mailing Address - Country:US
Mailing Address - Phone:317-847-4284
Mailing Address - Fax:
Practice Address - Street 1:3399 NICHOL AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-3001
Practice Address - Country:US
Practice Address - Phone:317-847-4284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health