Organization Active NPI

Miracles of Life Day Services Inc.

  • Adult Day Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1497812812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MIRACLES OF LIFE DAY SERVICES INC.
Practice address
5914 W North Ave
Chicago, IL 60639-4013
Phone
(773) 237-0484
Fax
(773) 626-1077
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rickie Pierre Brown Sr.
Title
Ceo
Phone
(773) 237-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

5914 W North Ave
Chicago, IL 60639-4013

Mailing address

5914 W North Ave
Chicago, IL 60639-4013
Phone (773) 237-0484

National Provider Directory

National Provider Directory

Locations

325 S California Ave
Chicago, IL 60612
Phone (773) 826-8946

5914 W North Ave
Chicago, IL 60639
Phone (773) 237-0484

Practitioners & affiliated clinicians

Practitioners 4

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497812812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606394013",
            "telephone_number": "773-237-0484",
            "fax_number": "773-626-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606394013",
            "telephone_number": "773-237-0484",
            "fax_number": "773-626-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES OF LIFE DAY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN SR.",
        "authorized_official_first_name": "RICKIE",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-237-0484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.