Organization Active NPI

Miracle Care Home Health Agency Corp.

  • Home Health Agency
  • North Port, FL
National Provider Identifier
1215268016
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIRACLE CARE HOME HEALTH AGENCY CORP.
Practice address
5400 S Biscayne Dr
Suite D
North Port, FL 34287-1932
Phone
(305) 744-2397
NPI assigned
Jan 19, 2010
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Mrs. Marina Chemerisov
Title
Director
Phone
(305) 744-2397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

5400 S Biscayne Dr
Suite D
North Port, FL 34287-1932

Mailing address

PO Box 7485
North Port, FL 34290-0485
Phone (305) 744-2397

National Provider Directory

National Provider Directory
Tax ID family
Golden Touch Companion Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1215268016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7485",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342900485",
            "telephone_number": "305-744-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR",
            "address_2": "SUITE D",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "305-744-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE CARE HOME HEALTH AGENCY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "CHEMERISOV",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-744-2397",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.