MIRAGE HEALTH SERVICES LLC


Address: 147 Abruzzi Dr, Clayton, DE 19938-4209
Phone: 3028467355

MIRAGE HEALTH SERVICES LLC (NPI# 1598325755) 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) 1598325755
Entity Type Organization
Organization Name MIRAGE HEALTH SERVICES LLC
Practice Address 147 Abruzzi Dr
Clayton
DE 19938-4209
Practice Telephone 3028467355
Mailing Telephone 3028467355
Enumeration Date 2019-06-19
Last Update Date 2020-10-20
Authorized Official Name JOYCE BEVERLY WEDDERBURN (OWNER / PRESIDENT)
Authorized Official Telephone 3024654466
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Office Location

Street Address 147 ABRUZZI DR
City CLAYTON
State DE
Zip Code 19938-4209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730787326 Rebecca Carter Psychologist 510 W. Main St., Clayton, DE 19938 2020-10-15
1861043978 Shannon Hardee Speech-Language Pathologist Clayton Elementary, 510 Main Street, Clayton, DE 19938 2019-09-20
1639608086 Favor Healthcare Practice Nurse Practitioner 1789 Alley Corner Rd, Clayton, DE 19938 2017-06-08
1699164046 Messiah Moore Pharmacist 88 Smyrna Ave, Clayton, DE 19938 2015-01-22
1891982989 Carole Kinnamon Registered Nurse 355 West Duck Creek Rd, Clayton, DE 19938 2007-10-02
1841322070 Robin Renee Pratola Nurse Practitioner 1001 Sewell Branch Rd, Clayton, DE 19938 2007-03-12
1336283076 Cindy Daniels Registered Nurse 355 West Duck Creek Road, Clayton, DE 19938 2007-02-16
1679632558 Christiana Care General Acute Care Hospital 1001 Sewell Branch Road, Clayton, DE 19938 2006-12-07
1629512751 Cara Gomez Specialist/Technologist 211 Highland Ave, Clayton, DE 19938 2016-12-08
1457499881 Robert C. Donlick, Do, Pa Family Medicine 210 Clayton Ave., Clayton, DE 19938-1145 2007-02-01
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy 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.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376150383 Shining Star Adult Care Home Health 720 Rudy Dr, Clayton, NC 27520-5614 2020-09-24
1952947798 Mac Partners LLC Home Health 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 2019-11-26
1508321415 Joyce Beverly Wedderburn Home Health 147 Abruzzi Dr Apt D-17, Clayton, DE 19938-4209 2019-02-05
1760971931 Attached To Home Ihs LLC Home Health 141 N Meramec Ave Ste 100, Clayton, MO 63105-3781 2018-05-03
1194254748 Lashawnda Jones Home Health 6042 Cotillion Ct, Clayton, OH 45315-8701 2017-06-07
1770879678 Heart 2 Hearts Home Care Home Health 2001 Sunny Way, Clayton, NC 27520-9326 2011-06-20
1770881989 Jem Investments Ltd Home Health 7561b Jacks Ln, Clayton, OH 45315-8778 2011-03-11
1639381403 New Beginings In-home Services LLC Home Health 200 South Hanley, Suite 403, Clayton, MO 63105 2007-05-04
1831311315 Personal Touch Home Care of Mo, Inc. Home Health 141 North Meramac, #217, Clayton, MO 63105 2007-05-03
1902980220 State of Alabama Department of Public Health Home Health 25 North Midway Street, Clayton, AL 36106 2006-10-24
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Competitor

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City CLAYTON
Zip Code 19938

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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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