Miracles1St

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MIRACLES1ST

Practice address

5128 4TH St NE
Columbia Heights, MN 55421-2874

Phone

(763) 528-5431

NPI assigned

Apr 18, 2014

Organization subpart

No

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

Authorized official

Name

Patrice Wynne-Finley

Title

Governing Body

Phone

(753) 528-5431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1043630924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 4TH ST NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212874",
            "telephone_number": "763-528-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 4TH ST NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212874",
            "telephone_number": "763-528-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES1ST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "WYNNE-FINLEY",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "GOVERNING BODY",
        "authorized_official_telephone_number": "753-528-5431"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minncare Services Inc
• Minnesota Alternatives, LLC
• Minnesota Home Health Care LLC
• Minnesota Spine and Pain Institute, PA
• Miracle Mental Health LLC
• Asha Mohamaud
• Motassim Mohamed Sorkaty
• Abdirahman Mohamed
• Aisha Mohamed
• Fardowsa A Mohamed

• Adult Care Home Facility in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.