Active NPI
Miracle Home Care LLC
- Home Health Agency
- Wichita, KS
National Provider Identifier
1124345871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- A-087-159
- Legal business name
- MIRACLE HOME CARE LLC
- Practice address
- 1624 S Rutan St
Wichita, KS 67218-3918 - Phone
- (316) 448-2614
- Fax
- (316) 462-0766
- NPI assigned
- Apr 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Chambers
- Title
- Administator
- Phone
- (405) 401-5299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A-087-159 | KS | Primary |
Addresses
Primary practice location
1624 S Rutan St
Wichita, KS 67218-3918
Mailing address
1624 S Rutan St
Wichita, KS 67218-3918
Phone (316) 448-2614
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430697600000",
"number": "1124345871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 S RUTAN ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183918",
"telephone_number": "316-448-2614",
"fax_number": "316-462-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 S RUTAN ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183918",
"telephone_number": "316-448-2614",
"fax_number": "316-462-0766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRACLE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-20",
"last_updated": "2015-05-04",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "ADMINISTATOR",
"authorized_official_telephone_number": "405-401-5299",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A-087-159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.