Miracle EMS LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MIRACLE EMS LLC

Practice address

3030 Dunvale Rd Apt 9205
Houston, TX 77063-4482

Phone

(510) 761-6686

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Abdullah Ibrahim

Title

Owner

Phone

(510) 761-6686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1619694676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CHIPMAN AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 DUNVALE RD APT 9205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770634482",
            "telephone_number": "510-761-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-761-6686"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.