Miracle Hill Nursing and Rehabilitation Center, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.

Practice address

1329 Abraham St
Tallahassee, FL 32304-1907

Phone

(850) 224-8486

Fax

(850) 224-8815

NPI assigned

Jul 20, 2018

Organization subpart

Yes

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

Authorized official

Name

Aidia KirkseyNPI 1922455666

Title

Controller

Phone

(850) 661-9779

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Miracle Hill Outpatient Rehabilitative Services Doing business as

Part of

Miracle Hill Nursing and Rehabilitation Center Inc

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aidia Kirksey

  • Homemaker
  • Crawfordville, FL
  • NPI 1922455666
  NPD Authorized official
• Joanne Watson

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1396446944
  NPD

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1780161000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 ABRAHAM ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041907",
            "telephone_number": "850-224-8486",
            "fax_number": "850-224-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 ABRAHAM ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041907",
            "telephone_number": "850-224-8486",
            "fax_number": "850-224-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HILL NURSING AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "YES",
        "enumeration_date": "2018-07-20",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "KIRKSEY",
        "authorized_official_first_name": "AIDIA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "850-661-9779"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SNF1354096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Hill Outpatient Rehabilitative Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle Hill Outpatient Rehabilitative Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindplus Mental Health Services LLC
• Britnae T Mingo
• Christine Herrera Minnick, CRNA
• Millicent Kathleen Minor, PA-C
• Miracle Hill Nursing and Rehabilitation Center, Inc.
• Agrata Mishra, MD
• Mission of Hope of Tallahassee, Inc
• Payal Mistry
• Satish Chand Mital, M.D.
• Michelle A. Mitcham, PH.D.

• Rehabilitation Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.