Miracle Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MIRACLE HOSPICE CARE, INC.

Practice address

3311 S Rainbow Blvd Ste 129
Las Vegas, NV 89146-6208

Phone

(702) 268-8112

Fax

(702) 268-8915

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Domingo Mateo Baccay Jr.

Title

President

Phone

(818) 267-7945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1760183602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 129",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466208",
            "telephone_number": "702-268-8112",
            "fax_number": "702-268-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 129",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466208",
            "telephone_number": "702-268-8112",
            "fax_number": "702-268-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BACCAY",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_middle_name": "MATEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-267-7945",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Miracle Hands Personal Home Care
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• Miracle Hands Personal Home Care LLC
• Miracle Minds BHS
• Miracle Minds Therapy LLC
• Miracle Minds Therapy LLC
• Leidy Desired Miracle
• Miracles Behavior Health Services

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.