Provider Demographics
NPI:1750705448
Name:MERCIFUL HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:MERCIFUL HEALTHCARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-484-5110
Mailing Address - Street 1:1395 E DUBLIN GRANVILLE RD STE 111
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3314
Mailing Address - Country:US
Mailing Address - Phone:614-484-5110
Mailing Address - Fax:614-484-5111
Practice Address - Street 1:1395 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 111
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3313
Practice Address - Country:US
Practice Address - Phone:614-946-5474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health