WONDERFUL MOVING MIRACLE LLC NPI 1558654665

NPI Information

NPI: 1558654665
Provider Name: WONDERFUL MOVING MIRACLE LLC

Doing Business As: WMMLLC

Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
6657 CARRIAGE LANE AVE NE
CANTON, OH
ZIP 44721
Phone: (330) 354-4844
Get Directions

WONDERFUL MOVING MIRACLE LLC is a foster care agency in Canton, OH. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. WONDERFUL MOVING MIRACLE LLC NPI is 1558654665. The provider is registered as an organization entity type.
The provider Is Doing Business As Wmmllc.

The provider's business location address is:

6657 CARRIAGE LANE AVE NE
CANTON, OH
ZIP 44721-580
Phone: (330) 354-4844
Fax: (330) 494-3247

The provider's authorized official is Glenda Marshall .
The authorized official title is Ceo and has the following contact phone number (330) 354-4844.

The enumeration date for this NPI number is 5/23/2011 and was last updated on 5/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		1523810002	OHIO	No
2	253Z00000X	In Home Supportive Care		1523810002	OHIO	No
3	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	1523810002	OHIO	No
4	253J00000X	Foster Care Agency		1523810002	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3101888	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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