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MIRANDA HOME HEALTH CARE INC NPI 1588274310


NPI Information

NPI: 1588274310
Provider Name: MIRANDA HOME HEALTH CARE INC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 14D1075562

Address:
19150 S. KEDZIE AVE
203
FLOSSMOOR, IL
ZIP 60422
Phone: (708) 922-3710
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MIRANDA HOME HEALTH CARE INC is a nursing care in Flossmoor, IL. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. MIRANDA HOME HEALTH CARE INC NPI is 1588274310. The provider is registered as an organization entity type.

The provider's business location address is:

19150 S. KEDZIE AVE
203
FLOSSMOOR, IL
ZIP 60422
Phone: (708) 922-3710
Fax: (708) 922-3715

The provider's authorized official is Jessica Nwakah .
The authorized official title is Administrator and has the following contact phone number (708) 922-3710.

The CLIA number assigned to this NPI record is 14D1075562 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2020 and was last updated on 5/19/2022.


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
1251J00000XNursing 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: 4/28/2024

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.