Golden Miracle Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299994039 Issued in FL

Legal business name

GOLDEN MIRACLE INC

Practice address

14601 SW 29TH St Ste 110
Miramar, FL 33027-4715

Phone

(954) 862-2236

Fax

(954) 944-0822

NPI assigned

Feb 12, 2013

Last updated

Jul 21, 2023By 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. Breno L Cardoso

Title

President

Phone

(954) 862-2236

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• N/A Former legal business name

Tax ID family

Golden Miracle Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Golden Miracle Inc

  dba Golden Miracle

  • Home Health Agency
  • Miramar, FL
  • NPI 1447822762
  NPD tax ID
• Golden Miracle, Inc

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1013589324
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Golden Miracle Inc

  dba Golden Miracle

  • Home Health Agency
  • Miramar, FL
  • NPI 1447822762
  NPPES parent name
• Golden Miracle, Inc

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1013589324
  NPPES parent name

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1841539897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-862-2236",
            "fax_number": "954-944-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-862-2236",
            "fax_number": "954-944-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Oak Ln Ste 401",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330165888",
            "country_code": "US",
            "telephone_number": "954-862-2236",
            "fax_number": "954-944-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN MIRACLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2023-07-21",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "CARDOSO",
        "authorized_official_first_name": "BRENO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-862-2236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994039",
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002023802",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692573198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692573196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002023800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pauline Yvonne Golaub, A.R.N.P
• Golden Age Home Care of Broward LLC
• Golden Hands Home Health LLC
• Golden Medical Center LLC
• Golden Miracle Inc (Golden Miracle)
• Golden Palace Retreat, LLC
• Goldencare Pharmaceutical & IV LLC
• Goldencare Pharmaceutical and IV, LLC
• Goldencare Pharmaceuticals& IV,LLC
• Rachel Goldy Goldglanz, PT

• Home Health Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.