Organization
ANGELS OF MERCY HOMECARE SERVICES; INC.
Active
Parent organization
ANGELS OF MERCY HOMECARE SERVICES; INC.
Other names
Angels of Mercy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELS OF MERCY HOMECARE SERVICES; INC.
Authorized official
MR. FOLUSO AYOTUNKU ALLISON (ADMINISTRATOR)
(763) 432-9706
Entity
Organization
Contact information
Practice address
6018 HALIFAX PLACE NORTH, BROOKLYN CENTER, MN 55429-2404
(763) 432-9706
(763) 432-9708
Mailing address
6018 HALIFAX PL, BROOKLYN CENTER, MN 55429-2440
(763) 432-9706
(763) 432-9708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
335882
MN
314000000X
Skilled Nursing Facility
Primary
337702
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335882
CLASS A PROFESSIONAL HOME CARE AGENCY
MN
01
—
924670300
MHCP PROVIDER #
—
01
—
A432120000
MHCP
MN
01
—
HWS25116
HOUSING WITH SERVICES
MN
Enumeration date
11/04/2007
Last updated
03/09/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us