NPIMap

Organization Active NPI

Miracle Group LLC

  • Meals Provider
  • Rockville, MD
National Provider Identifier
1003433145
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
MIRACLE GROUP LLC
Practice address
7713 Miller Fall Rd
Rockville, MD 20855-1127
Phone
(301) 535-9488
Fax
(301) 987-7223
NPI assigned
Jul 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Favor PeterNPI 1740829910
Title
Administrator
Phone
(301) 535-9488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

7713 Miller Fall Rd
Rockville, MD 20855-1127

Mailing address

7713 Miller Fall Rd
Rockville, MD 20855-1127
Phone (301) 535-9488

Other names 1

  • MIRACLE CARE AGENCY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL favor.peter@miracle-groupllc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593907200000",
    "number": "1003433145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 MILLER FALL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208551127",
            "telephone_number": "301-535-9488",
            "fax_number": "301-987-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7713 MILLER FALL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208551127",
            "telephone_number": "301-535-9488",
            "fax_number": "301-987-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "FAVOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-535-9488",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "favor.peter@miracle-groupllc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7713 Miller Fall Rd",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208551127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MIRACLE CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.