NPIMap

Organization Active NPI

Miracle Home Care Services LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1124223078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3431 Issued in NC
Legal business name
MIRACLE HOME CARE SERVICES LLC
Practice address
5736 N Tryon St Ste 130
Charlotte, NC 28213-6898
Phone
(704) 598-8356
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Paulette Ruthina McGee
Title
Agency Director
Phone
(704) 598-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3431 NC Primary

Addresses

Primary practice location

5736 N Tryon St Ste 130
Charlotte, NC 28213-6898

Mailing address

5736 N Tryon St Ste 130
Charlotte, NC 28213-6898
Phone (704) 598-8356

Other identifiers 1

IdentifierTypeStateIssuer
3418189MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Miracle Home Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124223078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136898",
            "telephone_number": "704-598-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136898",
            "telephone_number": "704-598-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "RUTHINA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-598-8356",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418189",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.