=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760327688
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MERCY HOME HEALTH INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2026
-----------------------------------------------------
Last Update Date | 04/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1710 DOUGLAS DR N STE 226P
-----------------------------------------------------
City | GOLDEN VALLEY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55422-4369
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-446-5511
-----------------------------------------------------
Fax | 612-446-5404
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1710 DOUGLAS DR N STE 226P
-----------------------------------------------------
City | GOLDEN VALLEY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55422-4369
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-446-5511
-----------------------------------------------------
Fax | 612-446-5404
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HASSAN WARSAME MOHAMED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 612-446-5511
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------