Organization Active NPI

Miraculous Home Health Care LLC

  • In Home Supportive Care Agency
  • Saint Charles, MO
National Provider Identifier
1477924363
Registry record updated Oct 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIRACULOUS HOME HEALTH CARE LLC
Practice address
1360 S 5TH St Ste 276
Saint Charles, MO 63301-2446
Phone
(314) 629-7507
NPI assigned
Oct 17, 2015
Last updated
Oct 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2015

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

Authorized official

Name
Sharon Nelson
Title
Executive Director
Phone
(314) 629-7507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1360 S 5TH St Ste 276
Saint Charles, MO 63301-2446

Mailing address

1360 S 5TH St Ste 276
Saint Charles, MO 63301-2446
Phone (314) 629-7507

National Provider Directory

National Provider Directory

Locations

1360 S 5th St
Ste 276
Saint Charles, MO 63301
Phone (314) 629-7507

NPI Registry JSON

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445040000000",
    "number": "1477924363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S 5TH ST STE 276",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012446",
            "telephone_number": "314-629-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S 5TH ST STE 276",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012446",
            "telephone_number": "314-629-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACULOUS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-629-7507"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; 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.