Miracle Home Care Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MIRACLE HOME CARE SERVICES

Practice address

13017 Broadmore Rd
Silver Spring, MD 20904-3116

Phone

(240) 706-6831

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Jacqueline E Korassa, REGISTERED NURSE

Title

Registered Nurse

Phone

(240) 706-6831

Specialties & licenses 1

Addresses

Other names 1

• MIRACLE HOME CARE SERVICES Former legal business name

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1093435356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13017 BROADMORE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043116",
            "telephone_number": "240-706-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13017 BROADMORE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043116",
            "telephone_number": "240-706-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "KORASSA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "240-706-6831",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE HOME CARE SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.