MIRANDA HOME HEALTH CARE INC (NPI# 1588274310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588274310 |
| Entity Type | Organization |
| Organization Name | MIRANDA HOME HEALTH CARE INC |
| Practice Address |
19150 S. Kedzie Ave 203 Flossmoor IL 60422 |
| Practice Telephone | 7089223710 |
| Practice Fax Number | 7089223715 |
| Mailing Telephone | 7089223710 |
| Mailing Fax Number | 7089223715 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | JESSICA NWAKAH (ADMINISTRATOR) |
| Authorized Official Telephone | 7089223710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1922618859 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-05 |
| Street Address |
19150 S. KEDZIE AVE 203 |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| 1831212232 | Ob Care LLC | Specialist | 19150 S Kedzie, Suite 100, Flossmoor, IL 60422 | 2007-04-09 |
| Find all providers in zip 60422 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164831046 | Awakened Alternatives Inc. | Nursing Care | 3235 Vollmer Rd, Ste. 200, Flossmoor, IL 60422-2013 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738899 | Chavier Marshall | Nursing Care | 303 S Scottswood Dr, Urbana, IL 61802-4550 | 2020-10-23 |
| 1578160172 | Trinity Care Providers Inc | Nursing Care | 957 N Plum Grove Rd Ste A, Schaumburg, IL 60173-4785 | 2020-10-06 |
| 1124638325 | Innovative Homecare Solutions, Inc. | Nursing Care | 3051 Oak Grove Rd Ste 100, Downers Grove, IL 60515-1180 | 2020-08-03 |
| 1699384578 | Life Stays Homecare | Nursing Care | 19 S Arbor Trl, Park Forest, IL 60466-2605 | 2020-07-28 |
| 1134746548 | Superb Nursing LLC | Nursing Care | 30 Coventry Rd, Northfield, IL 60093-3117 | 2020-07-01 |
| 1366063539 | Brooke Ball | Nursing Care | 203 Constitution Dr Sw # B, Poplar Grove, IL 61065-8729 | 2020-04-29 |
| 1811523871 | Noble Plus Healthcare | Nursing Care | 19729 Lake Park Dr, Lynwood, IL 60411-1556 | 2020-03-20 |
| 1326678772 | Kathryn Ann Paone-kopala | Nursing Care | 1430 Kenilworth Ave, Berwyn, IL 60402-1236 | 2020-01-23 |
| 1902443435 | Indus Healthcare Staffing | Nursing Care | 444 N Northwest Hwy Ste 365, Park Ridge, IL 60068-6404 | 2019-12-03 |
| 1477103752 | The Carter Williams Group, LLC | Nursing Care | 1806 Oakbrook Ct, Sauk Village, IL 60411-5289 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.