Organization Active NPI

Miracles Home Care Agency LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1669166823
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIRACLES HOME CARE AGENCY LLC
Doing business as
MIRACLES HOME CARE AGENCY LLC
Practice address
2748 Hellerman St Side B
Philadelphia, PA 19149-2939
Phone
(267) 961-5801
Fax
(888) 883-2366
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Sokol Serjani, CRNP, FNP-C
Title
President/Ceo
Phone
(267) 961-5801

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

2748 Hellerman St Side B
Philadelphia, PA 19149-2939

Mailing address

2748 Hellerman St Side B
Philadelphia, PA 19149-2939
Phone (267) 961-5801

Other names 1

  • MIRACLES HOME CARE AGENCY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2748 Hellerman St
Side B
Philadelphia, PA 19149
Phone (267) 961-5801

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1669166823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 HELLERMAN ST SIDE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492939",
            "telephone_number": "267-961-5801",
            "fax_number": "888-883-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 HELLERMAN ST SIDE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492939",
            "telephone_number": "267-961-5801",
            "fax_number": "888-883-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "SERJANI",
        "authorized_official_first_name": "SOKOL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "267-961-5801",
        "authorized_official_credential": "CRNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLES HOME CARE AGENCY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.