Miracle Hill Nursing and Rehabilitation Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1354096 Issued in FL

Legal business name

MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.

Practice address

1329 Abraham St
Tallahassee, FL 32304-1907

Phone

(850) 224-8486

Fax

(850) 224-8815

NPI assigned

Jul 1, 2006

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joanne Watson, NHANPI 1396446944

Title

Administrator

Phone

(850) 224-8486

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457380693. Details of each certification follow.

• CCN 105810 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105810

Legal name

MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.

Doing business as

MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1993

Last certification

Mar 14, 2024

Beds

120

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 3, 1968 in FL

Enrollment address

1329 Abraham St
Tallahassee, FL 32304-1907

Nursing home name

MIRACLE HILL NURSING & REHABILITATION CENTER, INC

Listed as

Miracle Hill Nursing & Rehabilitation Center, IncCCN 105810 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120105.0 residents per day on average

Penalties (3 years)

1Fines totaling $43,264

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanne Watson

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1396446944
  NPD Authorized official
• Aidia Kirksey

  • Homemaker
  • Crawfordville, FL
  • NPI 1922455666
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shaun E Laurie, M.D.

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1952344285

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1457380693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 ABRAHAM ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041907",
            "telephone_number": "850-224-8486",
            "fax_number": "850-224-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 ABRAHAM ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041907",
            "telephone_number": "850-224-8486",
            "fax_number": "850-224-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-224-8486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "1354096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202941",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Minder
• Mindplus Mental Health Services LLC
• Britnae T Mingo
• Christine Herrera Minnick, CRNA
• Millicent Kathleen Minor, PA-C
• Miracle Hill Nursing and Rehabilitation Center, Inc. (Miracle Hill Outpatient Rehabilitative Services)
• Agrata Mishra, MD
• Mission of Hope of Tallahassee, Inc
• Payal Mistry
• Satish Chand Mital, M.D.

• Skilled Nursing Facility in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.