Miracle Group Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MIRACLE GROUP HOME LLC

Practice address

1828 Darst Ave
Dayton, OH 45403-3106

Phone

(307) 629-1722

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Batachoka Ntizimira

Title

Owner

Phone

(307) 629-1722

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Batachoka Evode Ntizimira

  • Home Health Agency
  • Dayton, OH
  • NPI 1720845563
  NPD

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1881451326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 DARST AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454033106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 DARST AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454033106",
            "telephone_number": "307-629-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "NTIZIMIRA",
        "authorized_official_first_name": "BATACHOKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-629-1722"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Minnich, LPCC
• Ebony Latrease Minor
• Mark Edward Minor
• Matthew Minor
• Cynthia Minton, LISW-S, LICDC-CS
• David Michael Miranda, M.D.
• Miray Home Health Care Inc
• Cyrus Mirhaidari, MD
• Lazaro David Mirkin, M.D.
• Michael Misch

• In Home Supportive Care Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.