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NPI Code Detail

MEDICARE: MIRACLE CITY HOSPICE, LLC

MEDICARE: MIRACLE CITY HOSPICE, LLC
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
1251G00000XCommunity Based Hospice Care Agency0113HSPOH

General Provider Information

NPI Number : 1134267081
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRACLE CITY HOSPICE, LLC
Provider Business Mailing Address
First Line : 6303 COWBOYS WAY STE 600
Second Line :
City : FRISCO
State : TX
Zip : 75034-0329
Country : US
Telephone Number : 469-535-8200
Fax Number : 205-379-6720
Provider Business Practice Location Address
First Line : 9150 S HILLS BLVD STE 100
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-3511
Country : US
Telephone Number : 440-397-4111
Fax Number : 440-394-6099
Authorized Official
Title or Position : PRESIDENT & COO
Name : MS. HEATHER DIXON
Credential :
Telephone Number : 469-535-8200
Provider Enumeration Date : 02/02/2007
Last Update Date : 11/13/2025

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Directions to “MIRACLE CITY HOSPICE, LLC ” Practice Location

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