MIRANDA HOME HEALTH CARE INC (NPI# 1922618859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922618859 |
Entity Type | Organization |
Organization Name | MIRANDA HOME HEALTH CARE INC |
Practice Address |
19150 S Kedzie Ave 203 Flossmoor IL 60422 |
Practice Telephone | 7089223710 |
Practice Fax Number | 7089223715 |
Mailing Telephone | 7089223710 |
Mailing Fax Number | 7089223715 |
Enumeration Date | 2020-08-05 |
Last Update Date | 2020-08-05 |
Authorized Official Name | JESSICA NWAKAH (ADMINISTRATOR) |
Authorized Official Telephone | 7089223710 |
Is Organization Subpart | Y |
Parent Organization Name | MIRANDA HOME HEALTH CARE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
Street Address |
19150 S KEDZIE AVE 203 |
City | FLOSSMOOR |
State | IL |
Zip Code | 60422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
1831212232 | Ob Care LLC | Specialist | 19150 S Kedzie, Suite 100, Flossmoor, IL 60422 | 2007-04-09 |
Find all providers in zip 60422 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346508 | Bec Personal Care, LLC | In Home Supportive Care | 3513 Sundance Dr, Springfield, IL 62711-6719 | 2020-11-04 |
1083213813 | Universum Care LLC | In Home Supportive Care | 4652 N Orange Ave, Norridge, IL 60706-4408 | 2020-10-22 |
1699373225 | Senior Ally, Inc. | In Home Supportive Care | 600 Holiday Plaza Dr Ste 177, Matteson, IL 60443-2236 | 2020-10-15 |
1083212849 | Ashley Marshall | In Home Supportive Care | 11130 S Longwood Dr Apt 3, Chicago, IL 60643-4049 | 2020-10-14 |
1881292084 | Marsico Enterprises, LLC | In Home Supportive Care | 400 W. Lake Street, Suite 112c, Roselle, IL 60172 | 2020-10-12 |
1740887413 | Daka M Corp. | In Home Supportive Care | 1132 Russetwood Ct, Wheeling, IL 60090-5598 | 2020-10-06 |
1861008401 | New Hirez Solutions Inc. | In Home Supportive Care | 4229 Main St, Downers Grove, IL 60515-2139 | 2020-09-18 |
1528673951 | Tchatchouas Healthcare Solutions | In Home Supportive Care | 141 Indiana St, Park Forest, IL 60466-1078 | 2020-09-11 |
1699389478 | Ziing Home Health Co. | In Home Supportive Care | 1045 Aspen St, Hoffman Estates, IL 60169-4447 | 2020-08-31 |
1841803558 | Citycare Services Inc | In Home Supportive Care | 402 Mozart Ct, Wheaton, IL 60189-2056 | 2020-08-24 |
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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.