MEDICARE: MIRAY HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1528903416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIRAY HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2723 BLUEFLAG ST
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-2584
Country	:	US
Telephone Number	:	937-732-3474
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 BLUEFLAG ST
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-2584
Country	:	US
Telephone Number	:	937-732-3474
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NARIMAN KHALILOV
Credential	:
Telephone Number	:	937-732-3474

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “MIRAY HOME HEALTH CARE INC ” Practice Location

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