MIRACLE LIFE ADULT DAY CARE CENTER LLC


Address: 5400 S Biscayne Dr, Suite F, North Port, FL 34287-1932
Phone: 9414230800

MIRACLE LIFE ADULT DAY CARE CENTER LLC (NPI# 1750652798) 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) 1750652798
Entity Type Organization
Organization Name MIRACLE LIFE ADULT DAY CARE CENTER LLC
Other Organization Name MIRACLE LIFE ADULT DAY HEALTH CARE CENTER
Practice Address 5400 S Biscayne Dr
Suite F
North Port
FL 34287-1932
Practice Telephone 9414230800
Practice Fax Number 9414236421
Mailing Telephone 9414230800
Mailing Fax Number 9414236421
Enumeration Date 2012-01-23
Last Update Date 2012-01-24
Authorized Official Name JUDITH D BRIGGS (OWNER)
Authorized Official Telephone 9414230800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
9189 FL Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
MIRACLE LIFE ADULT DAY HEALTH CARE CENTER Doing Business As Name - Organization

Office Location

Street Address 5400 S BISCAYNE DR
SUITE F
City NORTH PORT
State FL
Zip Code 34287-1932

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205893633 Personal Choice Home Health Services,inc. Home Health 5400 S Biscayne Dr, F, North Port, FL 34287-1932 2006-04-28
1063865418 Philippe Noel Md and Anna Berenstein Md Pa Internal Medicine 5400 S Biscayne Dr, B, North Port, FL 34287-1932 2016-07-21
1215268016 Miracle Care Home Health Agency Corp. Home Health 5400 S Biscayne Dr, Suite D, North Port, FL 34287-1932 2010-01-19
1043448715 Miracle Resort Health International Spa Inc. Family Medicine 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 2009-07-01
1255547428 Northern Medical Center PC Family Medicine 5400 S Biscayne Dr, North Port, FL 34287-1932 2007-05-15
1164452561 James L Fry Counselor 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 2006-07-03
1437188695 Brent Macphail Counselor 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 2006-07-01
1598794752 Sun Coast Counseling, Inc. Counselor 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 2006-07-01
1053349076 Terrence M Lonergan Counselor 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 2006-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134619323 Fresenius Medical Care North Port, LLC Clinic/Center 12480 Tamiami Trl S, North Port, FL 34287 2018-05-14
1982106464 Sweetwater Oaks Assisted Living Assisted Living Facility 2820 Pan American Blvd, North Port, FL 34287 2018-03-01
1114446218 Shore Dental, LLC Dentist 4901 White Ibis Drive, North Port, FL 34287 2017-09-11
1245645191 Timmy Truong Podiatrist 12757 S. Tamiami Trail, North Port, FL 34287 2014-06-29
1063833671 Vitaly Rehab Incorporated Clinic/Center 12450 Timiami Trail, Suite-e, North Port, FL 34287 2013-12-27
1053744557 Tiesha Quality Care, LLC. In Home Supportive Care 8767 Culebra Ave, North Port, FL 34287 2013-08-20
1811235427 America's Best Contacts & Eyeglasses Technician/Technologist 18467 South Tamiami Trail, North Port, FL 34287 2013-01-17
1043557929 Joseph E Lacombe Pharmacist 1291 S. Sumter Blvd, North Port, FL 34287 2013-01-11
1568621837 Daniel M Barr Dc Chiropractor 4361 Aidan Ln, North Port, FL 34287 2008-06-03
1174712541 Michael Dwayne Hibbs Nurse Practitioner 18659 Tamiami Trail, Suite A, North Port, FL 34287 2007-10-22
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841608429 Amanda Chambers Custodial Care Facility 4817 Italy Ave, North Port, FL 34288-8103 2014-07-28
1669811261 Shirley Hunter Custodial Care Facility 3435 Avanti Cir, North Port, FL 34287-1842 2013-06-18
1316384019 Rosemarie Chambers Custodial Care Facility 2225 Namiot Cir, North Port, FL 34288-5880 2013-06-04
1326485186 Carol Althea Lewis Custodial Care Facility 12101 Ronda Ln, North Port, FL 34287-1468 2013-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801497243 Two Kinds of Hearts 'llc' Custodial Care Facility 1808 Oak Pond Street, Ruskin, FL 33570 2020-11-03
1881293843 Inspire Family Home Care LLC. Custodial Care Facility 566 Forsyth Creek Ct, Apopka, FL 32712-3318 2020-10-21
1336747658 Eddrena Thornton Custodial Care Facility 2233 Bluebird Ave, Bartow, FL 33830-2953 2020-10-09
1689280083 Wendy Del Rosario Toledo Machado Custodial Care Facility 7101 Green St, New Port Richey, FL 34652-1630 2020-09-21
1568077469 Titilayo M Dipe Custodial Care Facility 11215 Gold Compass St, Gibsonton, FL 33534-5698 2020-09-09
1124630892 Moselene Belizaire Custodial Care Facility 3411 9th St W, Lehigh Acres, FL 33971-5357 2020-08-23
1396354395 Unique Adult Family Care Home Inc. Custodial Care Facility 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 2020-07-24
1790301687 Nancy Isidor Custodial Care Facility 1728 Burnham Ct, Clermont, FL 34714-8048 2020-06-17
1326662206 Yuwaret Haines Custodial Care Facility 13566 Rudi Loop, Spring Hill, FL 34609-7964 2020-06-05
1245854686 Yves Carmen Dorsainvil Custodial Care Facility 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 2020-06-01
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Competitor

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City NORTH PORT
Zip Code 34287

Improve Information

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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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