Miracle Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIRACLE CARE

Practice address

815 6TH St SW
Wadena, MN 56482-1928

Phone

(612) 688-7661

Fax

(612) 688-7672

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Jatty D ZondoNPI 1528716750

Title

Ceo

Phone

(612) 688-7661

Specialties & licenses 13

Addresses

Other names 4

• Miracle Care Hospice & Palliative Care Doing business as
• Miracle Care Services Doing business as
• Miracle Care, LLC Doing business as
• Miracle DMEPOS Doing business as

Tax ID family

Miracle Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Miracle Care

  • Home Health Agency
  • Wadena, MN
  • NPI 1184302143
  NPD tax ID

Locations

Practitioners 1

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

• Jatty D Zondo, NURSING ASSISTANT

  • Nursing Care Agency
  • Wadena, MN
  • NPI 1528716750

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1821747023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 6TH ST SW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821928",
            "telephone_number": "612-688-7661",
            "fax_number": "612-688-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 6TH ST SW",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821928",
            "telephone_number": "612-688-7661",
            "fax_number": "612-688-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "ZONDO",
        "authorized_official_first_name": "JATTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-688-7661"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Care Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle DMEPOS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle DMEPOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Miller, PHARMD
• Minnesota Eyecare Network, Inc.
• Minnesota Eyecare Network, Inc.
• Minnesota Specialty Health Systems-Wadena
• Miracle Care
• Miracle Care Dmepos
• Miracle Care Staffing, LLC
• Brittnee Monson, LPCC
• Alicia Jean Moren, FNP
• Jennifer Morrell, MA

• Home Health Agency in Wadena, MN
• Providers in Wadena, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.