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MIRACLES OF LIFE DAY SERVICES INC. NPI 1497812812


NPI Information

NPI: 1497812812
Provider Name: MIRACLES OF LIFE DAY SERVICES INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
5914 W NORTH AVE
CHICAGO, IL
ZIP 60639
Phone: (773) 237-0484
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MIRACLES OF LIFE DAY SERVICES INC. is an adult day care clinic center in Chicago, IL. MIRACLES OF LIFE DAY SERVICES INC. NPI is 1497812812. The provider is registered as an organization entity type.

The provider's business location address is:

5914 W NORTH AVE
CHICAGO, IL
ZIP 60639-013
Phone: (773) 237-0484
Fax: (773) 626-1077

The provider's authorized official is Rickie Pierre Brown Sr. .
The authorized official title is Ceo and has the following contact phone number (773) 237-0484.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.