Organization Active NPI

Miracle Blessings Home Care Agency LLC

  • In Home Supportive Care Agency
  • Phila, PA
National Provider Identifier
1336722891
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIRACLE BLESSINGS HOME CARE AGENCY LLC
Practice address
1429 W Girard Ave
Phila, PA 19130-1625
Phone
(267) 687-1897
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Michelle Denise BrockingtonNPI 1659953719
Title
Owner
Phone
(267) 687-1897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1429 W Girard Ave
Phila, PA 19130-1625

Mailing address

1429 W Girard Ave
Phila, PA 19130-1625
Phone (267) 687-1897

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1336722891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 W GIRARD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191301625",
            "telephone_number": "267-687-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 W GIRARD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191301625",
            "telephone_number": "267-687-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE BLESSINGS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BROCKINGTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-687-1897"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.