MERCY CARE HOME
NPI 1902361280
Home Health in Minnetonka, MN

Active since January 31, 2019CLIA 24D2168994 · Waiver
5005 WOODLAND RD, MINNETONKA, MN 55345(612) 226-0533 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mercy Care Home NPPES

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

MERCY CARE HOME (NPI 1902361280) is a healthcare organization registered as a home health in Minnetonka, Minnesota and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Musa H Jimaale, Management, as its authorized official.

NPPES Registry Identity

NPI1902361280
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMERCY CARE HOME
Location Address5005 WOODLAND RDMinnetonka, MN 55345-4520
Mailing Address5005 Woodland RdMinnetonka, MN 55345-4520 · (612) 226-0533
Organization SubpartNo
Authorized OfficialMusa H JimaaleManagement · (612) 226-0533
Enumeration DateJanuary 31, 2019
NPI 1902361280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedAssisted Living FacilityTaxonomy 310400000X
5005 WOODLAND RD, Minnetonka, MN 55345

Other Names 1

Doing Business AsMercy Care Home

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 24D2168994

Mercy Care Home · Minnetonka, MN
Active · expires Jul 12, 2027
CLIA Number24D2168994
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorMusa Jimaale
Laboratory Phone(612) 226-0533
Laboratory LocationMercy Care Home5005 Woodland Rd, Minnetonka, MN 55345
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902361280, enumerated as an "organization" on January 31, 2019.

The provider is located at 5005 WOODLAND RD MINNETONKA, MN 55345 and the phone number is (612) 226-0533.

Home Health with taxonomy code 251E00000X.