Miracle Home Care II LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MIRACLE HOME CARE II LLC

Practice address

3725 Lincoln Ave
Saint Louis, MO 63113-3521

Phone

(314) 349-5419

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By 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

Virdell McGruder

Title

Ceo

Phone

(314) 349-5419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1487476529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 LINCOLN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133521",
            "telephone_number": "314-349-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 LINCOLN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133521",
            "telephone_number": "314-349-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOME CARE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MCGRUDER",
        "authorized_official_first_name": "VIRDELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-349-5419"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Morris Mintz, MD
• Joel Mintz, MD MS
• Rachael Mintz, RD, LD
• Amanda Christina Minzer, MD
• Kylie Grace Mirabella, BA
• Melanie Miranda Shukla
• Eugenia Hehner Miranti, MD
• Mitchell M Mirbaha, MD
• Natalie Mirbaha
• Mona Mirkhaef, M.D.

• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.