Miracle Health Services LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

MIRACLE HEALTH SERVICES LLC

Practice address

15000 Sugar Pine Way
Burtonsville, MD 20866-1150

Phone

(301) 549-3732

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Sabum Anyangwe

Title

Administrator

Phone

(301) 549-3732

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1811507585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SUGAR PINE WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661150",
            "telephone_number": "301-549-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 SUGAR PINE WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661150",
            "telephone_number": "301-549-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "ANYANGWE",
        "authorized_official_first_name": "SABUM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-549-3732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Respite Care in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.