Mercy & Miracle Health Service Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MERCY & MIRACLE HEALTH SERVICE INC

Doing business as

Mercy & Miracle Health Services

Practice address

2065 Walton Rd Ste 202
Overland, MO 63114-5805

Phone

(314) 300-9095

Fax

(314) 492-0196

NPI assigned

Sep 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Johnson, DM PHDNPI 1356966147

Title

Owner

Phone

(314) 401-8028

Specialties & licenses 6

Addresses

Other names 1

• Mercy & Miracle Health Services Doing business as

Locations

Practitioners 1

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

• Sandra Johnson

  • Home Health Agency
  • Overland, MO
  • NPI 1356966147
  NPD Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1144998014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 EARTH CITY PLZ STE 312",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451303",
            "telephone_number": "314-222-8130",
            "fax_number": "314-492-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 WALTON RD STE 202",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145805",
            "telephone_number": "314-300-9095",
            "fax_number": "314-492-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY & MIRACLE HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-401-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DM PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [
        {
            "organization_name": "Mercy & Miracle Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy & Miracle Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Overland, MO
• Providers in Overland, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.