Miracle Nursing, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

043069339 Issued in IL

Legal business name

MIRACLE NURSING, LLC

Practice address

6601 N Friday Rd
Byron, IL 61010-8820

Phone

(815) 621-0954

NPI assigned

May 27, 2014

Last updated

May 27, 2014By 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

Mrs. Mary Margaret Witt, LPN, WCC

Title

Owner

Phone

(815) 621-0954

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1609288661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610100521",
            "telephone_number": "815-621-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N FRIDAY RD",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610108820",
            "telephone_number": "815-621-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-621-0954",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN, WCC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "043069339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Byron, IL
• Providers in Byron, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.