MEDICARE: ANGELS OF MERCY HOMECARE SERVICES; INC.

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	314000000X	Skilled Nursing Facility	340801	MN
2	251E00000X	Home Health Agency	340166	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A432120000	OTHER	MN	MHCP UMP

General Provider Information

NPI Number	:	1396980793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS OF MERCY HOMECARE SERVICES; INC.

Provider Business Mailing Address
First Line	:	6018 HALIFAX PL
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-2440
Country	:	US
Telephone Number	:	763-432-9706
Fax Number	:	763-432-9708

Provider Business Practice Location Address
First Line	:	6018 HALIFAX PL
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-2440
Country	:	US
Telephone Number	:	763-432-9706
Fax Number	:	763-432-9708

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. FOLUSO AYOTUNKU ALLISON
Credential	:
Telephone Number	:	763-432-9706

Provider Enumeration Date	:	12/13/2008
Last Update Date	:	12/13/2008

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1528038098 — DR. CAROL A GLESSNER MD
Practice Location Address:

154 EXTON SQUARE MALL , MAIN LINE HEALTH CENTER
EXTON, PA
19341-2440

Practice Phone: 484-565-8500
Practice Fax: 610-280-1595

1831155316 — MRS. TERESA SHIRLEY MAHAFFIE PHYSICAL THERAPIST
Practice Location Address:

2440 OSBORNE ROAD , COASTAL ORTHOPEDIC REHABILITATION CENTER
ST MARYS, GA
31558

Practice Phone: 912-882-3673
Practice Fax: 912-882-3640

1013027770 — RALEYS
Practice Location Address:

100 RALEY'S TOWNE CENTER
ROHNERT PARK, CA
94928-2440

Practice Phone: 707-585-3444
Practice Fax:

1043583370 — BECKER ORTHOPEDICS
Practice Location Address:

3501 HEALTH CENTER BLVD , SUITE 2440
BONITA SPRINGS, FL
34135-8127

Practice Phone: 239-949-3045
Practice Fax: 239-949-3015

1669097689 — MR. WILLIAM GUNDERSEN RDCS
Practice Location Address:

64 ROWENA RD
NEWTON CENTER, MA
02459-2440

Practice Phone: 617-699-0072
Practice Fax:

Directions to “ANGELS OF MERCY HOMECARE SERVICES; INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.