Miracle Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIRACLE CARE SERVICES LLC

Practice address

1624 S Rutan Ave
Wichita, KS 67218-3918

Phone

(316) 448-2614

Fax

(316) 462-0766

NPI assigned

May 31, 2016

Last updated

May 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Johnson

Title

Owner

Phone

(316) 925-1219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1053769125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S RUTAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183918",
            "telephone_number": "316-448-2614",
            "fax_number": "316-462-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S RUTAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183918",
            "telephone_number": "316-448-2614",
            "fax_number": "316-462-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-925-1219",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vannessa Minks
• Garold O Minns, M.D.
• Lance Minor, LPC
• Jessica Minter
• Jay C Minton, D.C.
• Miracle Home Care LLC
• Miracle Moments Midwifery
• Tracy Miracle, LMSW
• Miracles, Incorporated
• Britney Noel Miranda-Gonzalez

• Home Health Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.