Miracle Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIRACLE HEALTHCARE LLC

Practice address

649B W McNeal St
Bolivar, TN 38008-2519

Phone

(731) 658-2885

Fax

(731) 658-2886

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Latosha Messenger

Title

Owner

Phone

(731) 658-2885

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul Christopher Henson, LPC

  • Professional Counselor
  • Selmer, TN
  • NPI 1922493154
  NPD (past)

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1780908228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649B W MCNEAL ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082519",
            "telephone_number": "731-658-2885",
            "fax_number": "731-658-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649B W MCNEAL ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082519",
            "telephone_number": "731-658-2885",
            "fax_number": "731-658-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "MESSENGER",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-658-2885"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley McKinnie
• Laura K Melaro, DNP APN FNP/PMHNP-BC
• Mental Health Centers & Clinics of Tennessee
• Mid South Psych Services, PLLC
• Morgan Leigh Mills, OTR/L
• Danielle Mott
• Abubakar Mohammed Naida, MD
• New Primecare Clinics, Inc.
• Sylvestor D. Nicol, M.D.
• Felix Chukwudi Nnaji, MD

• Family Nurse Practitioner in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.