Miracle Hands Home Care Agency LTD

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MIRACLE HANDS HOME CARE AGENCY LTD

Practice address

1403 Janice CT SW
Lilburn, GA 30047-2348

Phone

(678) 262-8905

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Maimuna A Barkad, RN

Title

President

Phone

(678) 262-8905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1962032615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 JANICE CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472348",
            "telephone_number": "678-262-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 JANICE CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472348",
            "telephone_number": "678-262-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HANDS HOME CARE AGENCY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "BARKAD",
        "authorized_official_first_name": "MAIMUNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-262-8905",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Lilburn, GA
• Providers in Lilburn, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.