Miracle Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIRACLE CARE LLC

Doing business as

miracle home care

Practice address

2727 2ND Ave Ste 315
Detroit, MI 48201-2675

Phone

(313) 974-6480

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Tracey Lynn Spencer, REGISTERED NURSE

Title

Ceo/ Administrator

Phone

(586) 549-4642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• miracle home care Doing business as

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1881904175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 2ND AVE",
            "address_2": "SUITE 315",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012658",
            "telephone_number": "313-974-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 2ND AVE STE 315",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012675",
            "telephone_number": "313-974-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "586-549-4642",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "23-9257",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "miracle home care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennedy N Minter
• Nyah Elon Minter
• Shantal Minter
• Debra Marie Minton, BS,LBSW
• Joseph Mirabitur III, ACNP-BC
• Shokrollah Mirafzali, M.D.
• Mirage Therapeutic Touch
• Amalia S Miralrio, LCSW
• Nicholas Miramonti
• Cori T Miree

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.