Miracle Home Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

063-R-0013 Issued in GA

Legal business name

MIRACLE HOME CARE INC.

Practice address

4220 Coral Park Dr.
Brunswick, GA 31520

Phone

(912) 264-9242

Fax

(921) 264-9665

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Shashicka Tonshay Hill

Title

President

Phone

(912) 264-9242

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1174757447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CORAL PARK DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-264-9242",
            "fax_number": "912-264-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CORAL PARK DR.",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "912-264-9242",
            "fax_number": "921-264-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHASHICKA",
        "authorized_official_middle_name": "TONSHAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-264-9242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "063-R-0013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "927869260A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly E Miller, RN
• Timothy W Miller, AA-C
• Melissa Anne Minix, R.PH.
• John Shreve Minkowski, MD
• Jose Mira Hernandez, M.D.
• Charles W. Mitchell, M.D.
• Ernest Edward Mitchell III, PHARMD
• Heather Cone Mitchell, CRNA
• Patsy Mitchell, D.O.
• Tina F Mitchell, M.D.

• Home Health Agency in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.