Organization Active NPI

Medical Miracle Plus LLC

  • Non-emergency Medical Transport (VAN)
  • Detroit, MI
National Provider Identifier
1154866564
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDICAL MIRACLE PLUS LLC
Practice address
16837 Lindsay St
Detroit, MI 48235-3312
Phone
(248) 307-6959
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Ajohna Bryant
Title
Owner
Phone
(248) 307-6959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

16837 Lindsay St
Detroit, MI 48235-3312

Mailing address

PO Box 11324
Detroit, MI 48211-0324
Phone (248) 307-6959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1154866564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11324",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482110324",
            "telephone_number": "248-307-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16837 LINDSAY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353312",
            "telephone_number": "248-307-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MIRACLE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "AJOHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-307-6959"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.