Provider Demographics
NPI:1144262700
Name:MERCY HOME HEALTH SERVICES
Entity type:Organization
Organization Name:MERCY HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:N
Authorized Official - Last Name:AWAMBU
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:281-265-5763
Mailing Address - Street 1:8406 ASH GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6522
Mailing Address - Country:US
Mailing Address - Phone:281-565-0164
Mailing Address - Fax:281-265-1478
Practice Address - Street 1:8406 ASH GARDEN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6522
Practice Address - Country:US
Practice Address - Phone:281-565-0164
Practice Address - Fax:281-265-1478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
010084251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health