NPIMap

Organization Active NPI

Miracle Home Health Care LLC

  • In Home Supportive Care Agency
  • Lebanon, PA
National Provider Identifier
1649934035
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIRACLE HOME HEALTH CARE LLC
Practice address
345 S 16TH St Apt H8
Lebanon, PA 17042-5820
Phone
(804) 533-9773
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Olamide BankoleNPI 1093356321
Title
President
Phone
(804) 533-9773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

345 S 16TH St Apt H8
Lebanon, PA 17042-5820

Mailing address

345 S 16TH St Apt H8
Lebanon, PA 17042-5820
Phone (804) 533-9773

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1649934035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S 16TH ST APT H8",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425820",
            "telephone_number": "804-533-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S 16TH ST APT H8",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425820",
            "telephone_number": "804-533-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "BANKOLE",
        "authorized_official_first_name": "OLAMIDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-533-9773"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.