Miracle Life Adult Day Care Center LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

9189 Issued in FL

Legal business name

MIRACLE LIFE ADULT DAY CARE CENTER LLC

Doing business as

Miracle Life Adult Day Health Care Center

Practice address

5400 S Biscayne Dr
Suite F
North Port, FL 34287-1932

Phone

(941) 423-0800

Fax

(941) 423-6421

NPI assigned

Jan 23, 2012

Last updated

Jan 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith D Briggs

Title

Owner

Phone

(941) 423-0800

Specialties & licenses 1

Addresses

Other names 1

• MIRACLE LIFE ADULT DAY HEALTH CARE CENTER Doing business as

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1750652798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR",
            "address_2": "SUITE F",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "941-423-0800",
            "fax_number": "941-423-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR",
            "address_2": "SUITE F",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "941-423-0800",
            "fax_number": "941-423-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE LIFE ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-423-0800"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "9189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE LIFE ADULT DAY HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nichole Miller, RN
• Heidi Milliken
• Christina Milo, APRN
• Kasey Milo
• Miracle Care Home Health Agency Corp.
• Miracle Resort Health International Spa Inc.
• Sabruna Mirtil
• Nikiya Mitchell
• Mobility Rides LLC
• Annette Moffat, R.N.

• Adult Care Home Facility in North Port, FL
• Providers in North Port, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.