Organization Active NPI

Myracle Hands Home Health Care,LLC

  • Home Health Aide
  • Savannah, GA
National Provider Identifier
1396253449
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
CN0028885202 Issued in GA
Legal business name
MYRACLE HANDS HOME HEALTH CARE,LLC
Practice address
6205 Abercorn St Ste 109
Savannah, GA 31405-5529
Phone
(912) 712-5099
Fax
(912) 712-5151
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Raekel Denise BrownNPI 1528505773
Title
Owner
Phone
(912) 644-9623

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
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X CN0028885202 GA Primary

Addresses

Primary practice location

6205 Abercorn St Ste 109
Savannah, GA 31405-5529

Mailing address

6205 Abercorn St Ste 109
Savannah, GA 31405-5529
Phone (912) 712-5099

Other names 1

  • Myracle Hands Home Health Care,LLC Doing business as

National Provider Directory

National Provider Directory

Locations

6205 Abercorn St
Ste 109
Savannah, GA 31405
Phone (912) 644-9623

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": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1396253449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 ABERCORN ST STE 109",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055529",
            "telephone_number": "912-712-5099",
            "fax_number": "912-712-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 ABERCORN ST STE 109",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055529",
            "telephone_number": "912-712-5099",
            "fax_number": "912-712-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRACLE HANDS HOME HEALTH CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RAEKEL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-644-9623"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "CN0028885202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myracle Hands Home Health Care,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.