Active NPI
Miranda Home Health Care Inc
- Nursing Care Agency
- Flossmoor, IL
National Provider Identifier
1588274310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- MIRANDA HOME HEALTH CARE INC
- Practice address
- 19150 S. Kedzie Ave
203
Flossmoor, IL 60422 - Phone
- (708) 922-3710
- Fax
- (708) 922-3715
- NPI assigned
- Aug 6, 2020
- Last updated
- May 19, 2022
- 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
- Jessica Nwakah
- Title
- Administrator
- Phone
- (708) 922-3710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
19150 S. Kedzie Ave
203
Flossmoor, IL 60422
Mailing address
19150 S. Kedzie Ave
203
Flossmoor, IL 60422
Phone (708) 922-3710
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kinnser.net | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Miranda Home Health Care Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Park Ridge, IL
- NPI 1093059453
-
- In Home Supportive Care Agency
- Flossmoor, IL
- NPI 1922618859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652918400000",
"number": "1588274310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19150 S. KEDZIE AVE",
"address_2": "203",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "60422",
"telephone_number": "708-922-3710",
"fax_number": "708-922-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19150 S. KEDZIE AVE",
"address_2": "203",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "60422",
"telephone_number": "708-922-3710",
"fax_number": "708-922-3715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRANDA HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-06",
"last_updated": "2022-05-19",
"certification_date": "2021-11-15",
"status": "A",
"authorized_official_last_name": "NWAKAH",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "708-922-3710"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kinnser.net",
"affiliation": "N",
"endpointDescription": "EMR system",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pdf",
"address_1": "19150 S. Kedzie Ave",
"address_2": "203",
"city": "Flossmoor",
"state": "IL",
"country_code": "US",
"postal_code": "60422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.