# MERCIFUL HOMECARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528724952
- **Authorized official:** IBRAHIM BUSUMURU KYEI (MANAGER)
- **Authorized official phone:** (860) 461-2867

## Contact information

- **Practice address:** 48 HERBERT DR, EAST HARTFORD, CT 06118-3528
- **Practice address phone:** (860) 461-2867
- **Mailing address:** 29 RACHEL RD APT B, MANCHESTER, CT 06042-2160
- **Mailing address phone:** (860) 461-2867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 11/10/2021