Provider Demographics
NPI:1962388132
Name:ANGEL OF MERCY LLC
Entity type:Organization
Organization Name:ANGEL OF MERCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADEOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AROWORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-480-9877
Mailing Address - Street 1:15 EDITH PL
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-7608
Mailing Address - Country:US
Mailing Address - Phone:609-480-9877
Mailing Address - Fax:
Practice Address - Street 1:15 EDITH PL
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-7608
Practice Address - Country:US
Practice Address - Phone:609-480-9877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGEL OF MERCY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty