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ANGELS OF MERCY HOMECARE SERVICES; INC. NPI 1366622615


NPI Information

NPI: 1366622615
Provider Name: ANGELS OF MERCY HOMECARE SERVICES; INC.

Former Legal Business Name: ANGELS OF MERCY

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
6018 HALIFAX PLACE NORTH
BROOKLYN CENTER, MN
ZIP 55429
Phone: (763) 432-9706
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ANGELS OF MERCY HOMECARE SERVICES; INC. is a skilled nursing facility in Brooklyn Center, MN. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. ANGELS OF MERCY HOMECARE SERVICES; INC. NPI is 1366622615. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Angels Of Mercy.

The provider's business location address is:

6018 HALIFAX PLACE NORTH
BROOKLYN CENTER, MN
ZIP 55429-404
Phone: (763) 432-9706
Fax: (763) 432-9708

The provider's authorized official is Foluso Ayotunku Allison .
The authorized official title is Administrator and has the following contact phone number (763) 432-9706.

The enumeration date for this NPI number is 11/4/2007 and was last updated on 3/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health335882MINNESOTANo
2314000000XSkilled Nursing Facility337702MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1924670300OTHERMHCP PROVIDER #
2HWS25116OTHERMINNESOTAHOUSING WITH SERVICES
3335882OTHERMINNESOTACLASS A PROFESSIONAL HOME CARE AGENCY
4A432120000OTHERMINNESOTAMHCP
5A432120000OTHERMINNESOTAUMPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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