Organization Active NPI

Miracle Health Care Services ,Inc

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1083845440
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0136 Issued in DC
Legal business name
MIRACLE HEALTH CARE SERVICES ,INC
Practice address
6856 Eastern Ave NW
Suite 303 ,NW
Washington, DC 20012-2165
Phone
(202) 558-6600
Fax
(202) 558-6359
NPI assigned
Aug 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Mr. Lucas Joel Kahumba Moshi Sr., MD
Title
Chief Executive Officer/Owner
Phone
(202) 470-8092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0136 DC Primary

Addresses

Primary practice location

6856 Eastern Ave NW
Suite 303 ,NW
Washington, DC 20012-2165

Mailing address

6856 Eastern Ave NW
Suite 303 ,NW
Washington, DC 20012-2165
Phone (202) 558-6600

Other names 1

  • American investment Doing business as

National Provider Directory

National Provider Directory

Locations

6856 Eastern Ave NW
Ste 303
Washington, DC 20012
Phone (202) 558-6600

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1083845440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "address_2": "SUITE 303 ,NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "202-558-6600",
            "fax_number": "202-558-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "address_2": "SUITE 303 ,NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "202-558-6600",
            "fax_number": "202-558-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HEALTH CARE SERVICES ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "MOSHI",
        "authorized_official_first_name": "LUCAS JOEL",
        "authorized_official_middle_name": "KAHUMBA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/OWNER",
        "authorized_official_telephone_number": "202-470-8092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "0136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American investment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.