Mirrah Image Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MIRRAH IMAGE SERVICES LLC

Practice address

2862 W Main St
Leesburg, FL 34748-4631

Phone

(407) 813-2112

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer DickensNPI 1306497698

Title

Owner

Phone

(407) 421-7324

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Denise Dickens

  • Non-emergency Medical Transport (VAN)
  • Clermont, FL
  • NPI 1306497698
  NPD Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1104449784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484631",
            "telephone_number": "407-813-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2862 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484631",
            "telephone_number": "407-813-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRRAH IMAGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-421-7324"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Carol Milstead, M.D.
• Sherwin Magbojos Mina, M.D.
• Minnie A Mincy, RN
• Patricia Ming
• Rick Minniear, P.T.
• Mish Home Care Services, LLC
• Jocelyn Mitchell, BCBA
• Patricia Mlekodaj, RBT
• Dorothy Moat, AUD
• Rakhshinda Moeen, D.O.

• In Home Supportive Care Agency in Leesburg, FL
• Providers in Leesburg, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.