Healthcare Provider Details

I. General information

NPI: 1467797209
Provider Name (Legal Business Name): MERCY HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4466 ELVIS PRESLEY BLVD SUITE 245
MEMPHIS TN
38116-7180
US

IV. Provider business mailing address

4466 ELVIS PRESLEY BLVD SUITE 245
MEMPHIS TN
38116-7130
US

V. Phone/Fax

Practice location:
  • Phone: 614-596-4827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAEED DIRIE
Title or Position: CEO
Credential:
Phone: 614-596-4827