Organization Active NPI

Miracle Healthcare Solutions LLC

  • In Home Supportive Care Agency
  • Knoxville, TN
National Provider Identifier
1235698523
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIRACLE HEALTHCARE SOLUTIONS LLC
Doing business as
Miracle Healthcare Solutions
Practice address
200 Prosperity Dr
Knoxville, TN 37923-4718
Phone
(865) 465-9171
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Shanairea Camp
Title
Executive Director
Phone
(865) 465-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

200 Prosperity Dr
Knoxville, TN 37923-4718

Mailing address

200 Prosperity Dr
Knoxville, TN 37923-4718
Phone (865) 465-9171

Other names 1

  • Miracle Healthcare Solutions Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1235698523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROSPERITY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234718",
            "telephone_number": "865-465-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSPERITY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234718",
            "telephone_number": "865-465-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "SHANAIREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-465-9171"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Healthcare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.