Miraculum Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MIRACULUM CENTER

Practice address

220 Robert St S Ste 204-6
Saint Paul, MN 55107-1677

Phone

(651) 366-9972

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Abdulatif Hamza AbdulrahmanNPI 1851106538

Title

Director

Phone

(651) 366-9972

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Abdulatif Abdulrahman

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1851106538
  NPD Authorized official

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1902634470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20430 GATEWAY DR",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445098",
            "telephone_number": "651-366-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROBERT ST S STE 204-6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071677",
            "telephone_number": "651-366-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACULUM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ABDULRAHMAN",
        "authorized_official_first_name": "ABDULATIF",
        "authorized_official_middle_name": "HAMZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-366-9972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kile Eugene Minnis
• Donna L Minter, PHD LP
• Sam Andrew Miotke, M.D.
• Miracle Home Health Care, Inc.
• Miracle-Ear, Inc.
• Cristina Miralles Cardona, LICSW
• Allen Miranda, MD
• Aisha Mire
• Deqo Mire
• Juweyria Mire

• Early Intervention Provider Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.