Organization Active NPI

Miracle Home Care

  • Assisted Living Facility
  • Wasilla, AK
National Provider Identifier
1578085833
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101178 Issued in AK
Legal business name
MIRACLE HOME CARE
Practice address
2200 E Wolverine Cir
Wasilla, AK 99654-2708
Phone
(907) 357-0078
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Milagros Pasaraba Ragland
Title
Admin
Phone
(907) 357-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 101178 AK Primary

Addresses

Primary practice location

2200 E Wolverine Cir
Wasilla, AK 99654-2708

Mailing address

2200 E Wolverine Cir
Wasilla, AK 99654-2708
Phone (907) 357-0078

Other identifiers 1

IdentifierTypeStateIssuer
RLKMedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578085833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E WOLVERINE CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996542708",
            "telephone_number": "907-357-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WOLVERINE CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996542708",
            "telephone_number": "907-357-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAGLAND",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_middle_name": "PASARABA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "907-357-0078"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RLK",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.