Mirror Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MIRROR HOME CARE LLC

Practice address

6401 Ann St
Harrisburg, PA 17111-4220

Phone

(907) 310-6827

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Raghu Mishra

Title

President

Phone

(907) 310-6827

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1750009460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 ANN ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114220",
            "telephone_number": "907-310-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 ANN ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114220",
            "telephone_number": "907-310-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRROR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-310-6827"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Frances Minnich, BCBA, LBS
• Katelyn Joann Minnich, RD
• Cayleigh M Minter, CRNP
• Miracle Group Inc
• Jaclyn Mirault, MD
• Hajira Iftikheu Mirza, MD
• Jose Enrique Misas, M.D.
• Irina Vladimirovna Mishagina, M.D.
• Gautam Mishra, MD
• Kevin Misner, MD

• In Home Supportive Care Agency in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.