Healthcare Provider Details

I. General information

NPI: 1427768308
Provider Name (Legal Business Name): COMPASSIONATE MERCY HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 TOWN CENTER DR STE 812
DEARBORN MI
48126-2711
US

IV. Provider business mailing address

330 TOWN CENTER DR STE 812
DEARBORN MI
48126-2711
US

V. Phone/Fax

Practice location:
  • Phone: 586-525-5454
  • Fax:
Mailing address:
  • Phone: 586-525-5454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MERCY NONO
Title or Position: CEO, ADMINISTRATOR
Credential:
Phone: 313-573-8951