Provider Demographics
NPI:1528724952
Name:MERCIFUL HOMECARE SERVICES
Entity type:Organization
Organization Name:MERCIFUL HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:BUSUMURU
Authorized Official - Last Name:KYEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-461-2867
Mailing Address - Street 1:29 RACHEL RD APT B
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-2160
Mailing Address - Country:US
Mailing Address - Phone:860-461-2867
Mailing Address - Fax:
Practice Address - Street 1:48 HERBERT DR
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-3528
Practice Address - Country:US
Practice Address - Phone:860-461-2867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No251J00000XAgenciesNursing Care
No251G00000XAgenciesHospice Care, Community Based