Miracle Healthcare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIRACLE HEALTHCARE SERVICES INC

Practice address

1802 Garrison Way,
Garland, TX 75040

Phone

(972) 271-5381

Fax

(972) 271-5724

NPI assigned

Jan 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Sunday D. Omenihu

Title

Administrator.

Phone

(972) 274-5381

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747652

Legal name

MIRACLE HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 21, 2011

Last certification

Nov 25, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 16, 2009 in TX

Enrollment address

1802 Garrison Way
Garland, TX 75040-1209

Listed as

Miracle Healthcare Services IncorporatedCCN 747652

Ownership

Proprietary

Certified

Dec 21, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1770729295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 GARRISON WAY,",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75040",
            "telephone_number": "972-271-5381",
            "fax_number": "972-271-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 GARRISON WAY,",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75040",
            "telephone_number": "972-271-5381",
            "fax_number": "972-271-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "OMENIHU",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR.",
        "authorized_official_telephone_number": "972-274-5381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Ngo Huynh, O.D. & Associates, PA
• Mint Dentistry PLLC
• Minyard Food Stores Inc.
• Minyard Food Stores Inc.
• Miracle Healthcare Services
• Miracles of Love Health Agency LLC
• Sheldon Allan Mirow, M.D.
• Hema Girish Mistry, OD
• Audria Mitchell-Powell, B.A.
• Bishop Mitchell, MD

• Home Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.