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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
147 ABRUZZI DR |
| City | CLAYTON |
| State | DE |
| Zip Code | 19938-4209 |
| 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 |
| Find all providers in zip 19938 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| 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 |
| Find all providers in CLAYTON | ||||
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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.