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MERCY CARE CENTER LLC
NPI 1407648108
Assisted Living Facility in Brooklyn Park, MN

Active since May 19, 2025CLIA 24D2340370 · Waiver
9012 TESSMAN PKWY N, BROOKLYN PARK, MN 55445(763) 269-9996 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, May 19, 2025 (2 updates tracked since 2025).

About Mercy Care Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY CARE CENTER LLC (NPI 1407648108) is a healthcare organization registered as an assisted living facility in Brooklyn Park, Minnesota and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Ubah Khaireh, Ceo/operator, as its authorized official.

NPPES Registry Identity

NPI1407648108
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMERCY CARE CENTER LLC
Location Address9012 TESSMAN PKWY NBrooklyn Park, MN 55445
Mailing Address9012 Tessman Pkwy NBrooklyn Park, MN 55445
Phone(763) 269-9996
Organization SubpartNo
Authorized OfficialUbah KhairehCeo/operator · (763) 269-9996
Enumeration DateMay 19, 2025
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1407648108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X
9012 TESSMAN PKWY N, Brooklyn Park, MN 55445
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2340370

Mercy Care Center LLC · Brooklyn Park, MN
Active · expires Mar 16, 2028
CLIA Number24D2340370
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorCassandra D. Fertahi
Laboratory Phone(651) 410-0464
Laboratory LocationMercy Care Center LLC9012 Tessman Pkwy N, Brooklyn Park, MN 55445
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UBAH KHAIREH
Nursing Home Administrator
9012 TESSMAN PKWY N
BROOKLYN PARK, MN 55445
Hennepin County (763) 269-9996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Care Center LLC's NPI number?

The NPI number for Mercy Care Center LLC is 1407648108. It was assigned to this organization in the NPPES registry on May 19, 2025.

Where is Mercy Care Center LLC located?

Mercy Care Center LLC is located at 9012 Tessman Pkwy N, Brooklyn Park, MN 55445. The listed phone number is (763) 269-9996.

What is Mercy Care Center LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mercy Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2340370) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mercy Care Center LLC was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.