A Miracle Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A MIRACLE HOME CARE LLC

Practice address

6824 W Appleton Ave Apt 4
Milwaukee, WI 53216-2756

Phone

(414) 779-2729

NPI assigned

Jun 11, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Kelly

Title

Owner

Phone

(414) 779-2729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831537992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162756",
            "telephone_number": "414-779-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 W APPLETON AVE APT 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162756",
            "telephone_number": "414-779-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MIRACLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-779-2729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.