Active NPI
Miracle Home Care
- Assisted Living Facility
- Wasilla, AK
National Provider Identifier
1578085833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 101178
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RLK | Medicaid | AK |
National Provider Directory
National Provider DirectoryNPI 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.