Miranda Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIRANDA HOME HEALTH CARE INC

Practice address

2644 Dempster St Ste 101a
Park Ridge, IL 60068-8430

Phone

(708) 922-3710

Fax

(708) 922-3715

NPI assigned

Nov 23, 2012

Organization subpart

No

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

Authorized official

Name

Insia Tabrezi

Title

Administrator

Phone

(630) 880-6246

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148085

Legal name

MIRANDA HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 31, 2009

Last certification

Jul 27, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 15, 2011 in IL

Enrollment address

2644 Dempster St
Ste 101a
Park Ridge, IL 60068-8430
HHA Branch

Listed as

Miranda Home Health CareCCN 148085 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Aug 31, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Miranda Home Health Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Miranda Home Health Care Inc

  • Nursing Care Agency
  • Flossmoor, IL
  • NPI 1588274310
  NPD tax ID
• Miranda Home Health Care Inc

  • In Home Supportive Care Agency
  • Flossmoor, IL
  • NPI 1922618859
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1093059453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 S. KEDZIE AVE",
            "address_2": "203",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 DEMPSTER ST STE 101A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688430",
            "telephone_number": "708-922-3710",
            "fax_number": "708-922-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "TABREZI",
        "authorized_official_first_name": "INSIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-880-6246"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Adam Mills, D.O.
• Mindspring Emdr, PLLC
• Amy Miner, APN-CNP
• Erica Minor, DO
• Miracle Homehealth Care LLC
• Saman Misbah, DO
• Samantha Mistretta, RD
• Diana Lily Mitchell, M.D.
• Sinclaire Mitchell
• Marion Jackson Mito, M.A. CCC-SLP

• Home Health Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.