MIRACLE CARE INC (NPI# 1528496510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528496510 |
| Entity Type | Organization |
| Organization Name | MIRACLE CARE INC |
| Other Organization Name | MIRACLE CARE INC |
| Practice Address |
6044 Hickory Ridge Mall Suite 132 Memphis TN 38115 |
| Mailing Address |
6075 Winchester Rd Memphis TN 38115-4012 |
| Practice Telephone | 9013185082 |
| Mailing Telephone | 9013185082 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | ANDREA SAMANTHA WILLIAMS (OWNER) |
| Authorized Official Telephone | 9012834706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | ========= | TN | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Miracle Care INC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861749285 | Miracle Care Inc | Early Intervention Provider Agency | 13 Empire Ln, Lakewood, NJ 08701-5162 | 2012-08-06 |
| 1710992367 | Miracle Care Inc | Pharmacy | 19225 Ventura Blvd, Tarzana, CA 91356-3122 | 2006-07-30 |
| Street Address |
6044 HICKORY RIDGE MALL SUITE 132 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343830 | Lyquala Buford | Respite Care | 6095 Apple Tree Dr, Memphis, TN 38115-8600 | 2020-07-09 |
| 1932731502 | Yolanda R Curry | Respite Care | 4833 Beaconfield Cv, Memphis, TN 38141-8556 | 2020-02-11 |
| 1649788902 | Hands of Glory | Respite Care | 2508 Mount Moriah Rd, Memphis, TN 38115-1514 | 2018-01-19 |
| 1578087995 | Yolanda Jones | Respite Care | 3149 Estes St, Memphis, TN 38115-2823 | 2017-07-27 |
| 1033646658 | Southern Home Care | Respite Care | 7530 Lexus Ln, Memphis, TN 38119-9006 | 2017-05-12 |
| 1811439714 | Open Hand Care Services | Respite Care | 4245 Townhall Ln, Memphis, TN 38128-4626 | 2016-11-08 |
| 1205296605 | Loving Hands In Home Care,llc | Respite Care | 3670 Jireh Dr, Memphis, TN 38128-5255 | 2016-02-26 |
| 1891913778 | Lisa L Lucious | Respite Care | 7768 Birdwood, Memphis, TN 38125 | 2007-04-23 |
| 1144853672 | Supreme Care | Respite Care | 4833 Beaconfield Cv, Memphis, TN 38141-8556 | 2020-02-12 |
| 1306315767 | Life Partners Home Care Agency, LLC | Respite Care | 2879 Knightway Rd, Memphis, TN 38118-2367 | 2018-11-15 |
| Find all providers in MEMPHIS | ||||
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| 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.