# MERCY HOME CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871593723
- **Authorized official:** MS. KIM MILLER (CEO)
- **Authorized official phone:** (701) 774-7400

## Contact information

- **Practice address:** 1301 15TH AVE W, WILLISTON, ND 58801-3821
- **Practice address phone:** (701) 774-7400
- **Mailing address:** 1301 15TH AVE W, WILLISTON, ND 58801-3821
- **Mailing address phone:** (701) 774-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4033A | ND | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 08/22/2020