NPIMap

Organization Active NPI

Golden Miracle Inc

  • Home Health Agency
  • Miramar, FL
National Provider Identifier
1447822762
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN MIRACLE INC
Practice address
14601 SW 29TH St Ste 110
Miramar, FL 33027-4715
Phone
(954) 862-2236
Fax
(954) 944-0822
NPI assigned
Jul 15, 2021
Organization subpart
Yes
Parent organization
GOLDEN MIRACLE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Breno Cardoso
Title
Administrator
Phone
(954) 862-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14601 SW 29TH St Ste 110
Miramar, FL 33027-4715

Mailing address

14601 SW 29TH St Ste 110
Miramar, FL 33027-4715
Phone (954) 862-2236

Other identifiers 1

IdentifierTypeStateIssuer
002023800MedicaidFL

Other names 1

  • Golden Miracle Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Miracle Inc3 organizations share this tax ID, including this one
Part of
Golden Miracle Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1447822762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-862-2236",
            "fax_number": "954-944-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-862-2236",
            "fax_number": "954-944-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MIRACLE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN MIRACLE, INC",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "CARDOSO",
        "authorized_official_first_name": "BRENO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-862-2236"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002023800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Miracle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.