Organization Active NPI

Miracle Care Aides

  • Home Health Agency
  • Pontiac, MI
National Provider Identifier
1457072969
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIRACLE CARE AIDES
Practice address
81 S Jessie St
Pontiac, MI 48342-2815
Phone
(404) 916-0219
NPI assigned
Sep 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Lashauna StewartNPI 1902322753
Title
Owner
Phone
(404) 916-0219

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 Agency 251E00000X Primary

Addresses

Primary practice location

81 S Jessie St
Pontiac, MI 48342-2815

Mailing address

81 S Jessie St
Pontiac, MI 48342-2815
Phone (404) 916-0219

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": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1457072969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 S JESSIE ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422815",
            "telephone_number": "404-916-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 S JESSIE ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422815",
            "telephone_number": "404-916-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE CARE AIDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "LASHAUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-916-0219"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.