MEDICARE: MERCY MEDICAL STAFFING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		OH

General Provider Information

NPI Number	:	1326569591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY MEDICAL STAFFING, LLC

Provider Business Mailing Address
First Line	:	12800 SHAKER BLVD STE 210D
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2000
Country	:	US
Telephone Number	:	216-751-1500
Fax Number	:	216-751-1502

Provider Business Practice Location Address
First Line	:	12800 SHAKER BLVD STE 210D
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2000
Country	:	US
Telephone Number	:	216-751-1500
Fax Number	:	216-751-1502

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MAGAN ARAHAM
Credential	:
Telephone Number	:	614-285-5771

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	07/21/2022

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