Provider Demographics
NPI:1699496174
Name:MERCIFUL HOME CARE, LLC
Entity type:Organization
Organization Name:MERCIFUL HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-917-7979
Mailing Address - Street 1:14661 MICHELS ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3409
Mailing Address - Country:US
Mailing Address - Phone:313-917-7979
Mailing Address - Fax:313-581-8788
Practice Address - Street 1:17348 W 12 MILE RD STE 106
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-6325
Practice Address - Country:US
Practice Address - Phone:313-917-7979
Practice Address - Fax:248-996-9460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-05
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care