MIRACLE CITY HOSPICE LLC NPI 1134267081

NPI Information

NPI: 1134267081
Provider Name: MIRACLE CITY HOSPICE, LLC

Doing Business As: MIRACLE CITY HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 36D2196684

Address:
9150 S HILLS BLVD STE 100
BROADVIEW HEIGHTS, OH
ZIP 44147
Phone: (440) 397-4111
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MIRACLE CITY HOSPICE, LLC is a hospice care community based in Broadview Heights, OH. MIRACLE CITY HOSPICE, LLC NPI is 1134267081. The provider is registered as an organization entity type.
The provider Is Doing Business As Miracle City Hospice.

The provider's business location address is:

9150 S HILLS BLVD STE 100
BROADVIEW HEIGHTS, OH
ZIP 44147-511
Phone: (440) 397-4111
Fax: (440) 394-6099

The provider's authorized official is Norma English .
The authorized official title is Vp Of Hospice and has the following contact phone number (205) 725-6236.

The CLIA number assigned to this NPI record is 36D2196684 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 3/15/2021.

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	251G00000X	Hospice Care, Community Based		0113HSP	OHIO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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