Provider Demographics
NPI:1659189967
Name:MERCY OF GOD HOME CARE
Entity type:Organization
Organization Name:MERCY OF GOD HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YEWANDE
Authorized Official - Middle Name:OLAJUMOKE
Authorized Official - Last Name:OLANREWAJU
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:734-444-6492
Mailing Address - Street 1:7775 TERRI DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-9449
Mailing Address - Country:US
Mailing Address - Phone:734-444-6492
Mailing Address - Fax:
Practice Address - Street 1:7775 TERRI DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-9449
Practice Address - Country:US
Practice Address - Phone:734-444-6226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care