MIRACLE CARE NPI 1821747023

NPI Information

  • NPI: 1821747023
  • Provider Name: MIRACLE CARE
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Doing Business As: MIRACLE DMEPOS
  • Address: 815 6TH ST SW
    WADENA, MN
    ZIP 56482
  • Phone: (612) 688-7661

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NPI Details

MIRACLE CARE is a home health in Wadena, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MIRACLE CARE NPI is 1821747023. The provider is registered as an organization entity type.
The provider Is Doing Business As Miracle Dmepos.

The provider's business location address is:

815 6TH ST SW
WADENA, MN
ZIP 56482-928
Phone: (612) 688-7661
Fax: (612) 688-7672

The provider's authorized official is Jatty D Zondo .
The authorized official title is Ceo and has the following contact phone number (612) 688-7661.

The enumeration date for this NPI number is 3/23/2022 and was last updated on 9/25/2024.

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
1251E00000XHome HealthYes
2251J00000XNursing CareNo
3251S00000XCommunity/Behavioral HealthNo
4253J00000XFoster Care AgencyNo
5310400000XAssisted Living FacilityNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7372500000XChore ProviderNo
83747A0650XTechnicianAttendant Care ProviderNo
93747P1801XTechnicianPersonal Care AttendantNo
10374U00000XHome Health AideNo
11376J00000XHomemakerNo
12376K00000XNurse's AideNo
13385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo

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: 11/21/2025

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