Organization Active NPI

Jeffery's Miracle Home Care LLC

  • In Home Supportive Care Agency
  • Zionsville, IN
National Provider Identifier
1427937903
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JEFFERY'S MIRACLE HOME CARE LLC
Practice address
75 N Main St
Zionsville, IN 46077-1547
Phone
(317) 794-9168
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Shannon McBrideNPI 1619748571
Title
Owner
Phone
(317) 794-6198

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

75 N Main St
Zionsville, IN 46077-1547

Mailing address

3910 Industrial Blvd
Indianapolis, IN 46254-2510
Phone (317) 794-9168

National Provider Directory

National Provider Directory

Locations

3910 Industrial Blvd
Indianapolis, IN 46254

75 N Main St
Zionsville, IN 46077
Phone (317) 268-2421

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": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1427937903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 INDUSTRIAL BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542510",
            "telephone_number": "317-794-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAIN ST",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771547",
            "telephone_number": "317-794-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY'S MIRACLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-794-6198"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.