Active NPI
Three Miracles Healthcare Services, LLC
- Home Health Agency
- Reynoldsburg, OH
National Provider Identifier
1962919597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- THREE MIRACLES HEALTHCARE SERVICES, LLC
- Practice address
- 575 Bellow Park CT
Reynoldsburg, OH 43068-9339 - Phone
- (614) 284-6290
- NPI assigned
- Jan 4, 2018
- Last updated
- Jan 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Relindis Eyonghe Agbor, RN
- Title
- Owner
- Phone
- (614) 284-6290
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
575 Bellow Park CT
Reynoldsburg, OH 43068-9339
Mailing address
575 Bellow Park CT
Reynoldsburg, OH 43068-9339
Phone (614) 284-6290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508172958 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Hilliard, OH
- NPI 1508172958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515024000000",
"number": "1962919597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 BELLOW PARK CT",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430689339",
"telephone_number": "614-284-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 BELLOW PARK CT",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430689339",
"telephone_number": "614-284-6290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE MIRACLES HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A",
"authorized_official_last_name": "AGBOR",
"authorized_official_first_name": "RELINDIS",
"authorized_official_middle_name": "EYONGHE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-284-6290",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508172958",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.