Healthcare Provider Details

I. General information

NPI: 1962797985
Provider Name (Legal Business Name): A MIRACLE HOME CARE CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2011
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10490 TACONIC TER STE 200
CINCINNATI OH
45215-1123
US

IV. Provider business mailing address

180 COMPTON RD
CINCINNATI OH
45215-5154
US

V. Phone/Fax

Practice location:
  • Phone: 513-793-2000
  • Fax: 888-712-3524
Mailing address:
  • Phone: 513-616-0544
  • Fax: 513-297-9217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RAD GALITSKY
Title or Position: PRESIDENT
Credential:
Phone: 513-616-0544