Miracles Group Home Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MIRACLES GROUP HOME INC

Practice address

12970 SW 280TH St
Homestead, FL 33032-8571

Phone

(786) 557-0300

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlon Medina

Title

Ceo

Phone

(786) 557-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1154173235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12970 SW 280TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 SW 280TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328571",
            "telephone_number": "786-557-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-557-0300"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kolaet S Mintze, LCSW
• Alicia Mirabal Pallerols
• Madelin Mirabal Plasencia
• Noel Mirabal, HS
• Dayanys Mirabet
• Arleny Mirambeau
• Eliany Miranda Cansino
• Yanelis Miranda Gonazalez
• Anne Miranda, BCBA
• Claudia Miranda

• Developmental Disabilities Clinic/Center in Homestead, FL
• Providers in Homestead, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.