Miracle Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIRACLE HOME HEALTH AGENCY INC

Practice address

10945 South Street
#202A
Cerritos, CA 90703

Phone

(562) 653-0668

Fax

(562) 653-0687

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Bernice C Osunwa

Title

Administrator

Phone

(562) 653-0668

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Bernice Chinyere Ivoko

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1063059806
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1194842260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 SOUTH STREET",
            "address_2": "#202A",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-653-0668",
            "fax_number": "562-653-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 SOUTH STREET",
            "address_2": "#202A",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-653-0668",
            "fax_number": "562-653-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "OSUNWA",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-653-0668",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA70303F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Mikhaylova
• Gwendolyn Miles
• Miller Psychological Services, Professional Corp
• Alicia Miller, PSY.D.
• Mind Grit Advanced Psychiatric Nursing, a Professional Corporation
• Jazmin Miramontes
• Laura Miranda
• Leia Miranda
• Mayra Miranda
• Fazal-Ur-Rahman Mirza, M.D.

• Home Health Agency in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.