A Miracle Home Care
Organization Active NPI In Home Supportive Care Agency · Savannah, GA
NPI 1699526640 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1699526640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- A MIRACLE HOME CARE
- Practice address
- 3 Hidden Lagoon CT
Savannah, GA 31419-9891 - Phone
- (912) 667-7970
- NPI assigned
- Mar 28, 2024
- Organization subpart
- No
Authorized official
- Name
- Connie T Williams
- Title
- Operational Manager
- Phone
- (912) 667-7970
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse |
163WH0200X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
3 Hidden Lagoon CT
Savannah, GA 31419-9891
Mailing address
3 Hidden Lagoon CT
Savannah, GA 31419-9891
Phone (912) 667-7970
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.