Organization Active NPI

Miracle Home Care LLC

  • Home Health Agency
  • Wichita, KS
National Provider Identifier
1124345871
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A-087-159 Issued in KS
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

Updated by the provider on May 4, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.