Active NPI
Miracle Home Healthcare, L.L.C
- Home Health Agency
- Baltimore, MD
National Provider Identifier
1386342012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MIRACLE HOME HEALTHCARE, L.L.C
- Practice address
- 133 N Edgewood St
Baltimore, MD 21229-3021 - Phone
- (443) 802-6729
- NPI assigned
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tracey S. Brown, CNA
- Title
- C.E.O
- Phone
- (443) 802-6729
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
133 N Edgewood St
Baltimore, MD 21229-3021
Mailing address
133 N Edgewood St
Baltimore, MD 21229-3021
Phone (443) 802-6729
Other names 1
- Miracle Home Healthcare, agency,L.L.C.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Baltimore, MD
- NPI 1942823273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1386342012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 N EDGEWOOD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293021",
"telephone_number": "443-802-6729",
"fax_number": "443-802-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 N EDGEWOOD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293021",
"telephone_number": "443-802-6729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRACLE HOME HEALTHCARE, L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TRACEY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "443-802-6729",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracle Home Healthcare, agency,L.L.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.