Miracle Medical Transport LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

MIRACLE MEDICAL TRANSPORT LLC

Practice address

3030 Dunvale Rd Apt 9205
Houston, TX 77063-4482

Phone

(510) 761-6686

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Abdullah Ibrahim

Title

Owner

Phone

(510) 761-6686

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674950400000",
    "number": "1225746647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 DUNVALE RD APT 9205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770634482",
            "telephone_number": "510-761-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 DUNVALE RD APT 9205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770634482",
            "telephone_number": "510-761-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-761-6686"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracal'S Place LLC
• Miracle Education System
• Miracle EMS LLC
• Miracle Hands Dental
• Miracle Medical Clinic
• Miracle Mind Counseling Center LLC
• Miracle Pharmacy Inc.
• Miracles in May
• Mirage Healthcare Services Inc
• Shalmali Mirajkar, MD

• Secured Medical Transport (VAN) in Houston, TX
• Providers in Houston, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.