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NPI Code Detail

MEDICARE: A MIRACLE HOME CARE SKILLED SERVICES CO.

MEDICARE: A MIRACLE HOME CARE SKILLED SERVICES CO.
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
1251J00000XNursing Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1396123923
Entity Type Code : Organization
Provider Name (Legal Business Name) : A MIRACLE HOME CARE SKILLED SERVICES CO.
Provider Business Mailing Address
First Line : 1715 HARMON DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1455
Country : US
Telephone Number : 513-616-0544
Fax Number : 513-297-9217
Provider Business Practice Location Address
First Line : 10490 TACONIC TER STE 300
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1123
Country : US
Telephone Number : 513-936-1313
Fax Number : 513-791-0836
Authorized Official
Title or Position : PRESIDENT
Name : RAD GALITSKY
Credential :
Telephone Number : 513-616-0544
Provider Enumeration Date : 05/15/2015
Last Update Date : 01/03/2024

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Directions to “A MIRACLE HOME CARE SKILLED SERVICES CO. ” Practice Location

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