HANDS OF MERCY GROUP HOME LLC


Address: 12783 Cruz Ct, Fairfax, VA 22030-7283
Phone: 7036353306

HANDS OF MERCY GROUP HOME LLC (NPI# 1609410273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609410273
Entity Type Organization
Organization Name HANDS OF MERCY GROUP HOME LLC
Practice Address 12783 Cruz Ct
Fairfax
VA 22030-7283
Mailing Address 10560 Main St Ste 406
Fairfax
VA 22030-7174
Practice Telephone 7036353306
Practice Fax Number 7038303699
Mailing Telephone 7036353306
Mailing Fax Number 7038303699
Enumeration Date 2019-11-06
Last Update Date 2019-11-12
Authorized Official Name FADUMA HUSSEIN (CEO)
Authorized Official Telephone 5713382684
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 12783 CRUZ CT
City FAIRFAX
State VA
Zip Code 22030-7283

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1427400050 Compassionate Care Group Homes, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4413 San Carlos Dr, Fairfax, VA 22030-5372 2016-07-07
1922191121 Community Living Alternatives, Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9401 Lee Hwy, Suite 406, Fairfax, VA 22031-1849 2006-10-02

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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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