Provider Demographics
NPI: | 1396399390 |
---|---|
Name: | MIRACLES OF HOPE CARE LLC |
Entity Type: | Organization |
Organization Name: | MIRACLES OF HOPE CARE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MRG |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | CAROLINE |
Authorized Official - Middle Name: | ROSEMARIE |
Authorized Official - Last Name: | SINCLAIR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MSC |
Authorized Official - Phone: | 407-924-1541 |
Mailing Address - Street 1: | PO BOX 780667 |
Mailing Address - Street 2: | |
Mailing Address - City: | ORLANDO |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32878-0667 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 407-924-1541 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 15450 MONTESINO DR |
Practice Address - Street 2: | |
Practice Address - City: | ORLANDO |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32828-6735 |
Practice Address - Country: | US |
Practice Address - Phone: | 407-924-1541 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-07-29 |
Last Update Date: | 2019-07-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care | |
No | 251J00000X | Agencies | Nursing Care | |
No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |