Provider Demographics
NPI:1417715004
Name:MIRACLE TOUCH HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:MIRACLE TOUCH HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:N
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-289-9251
Mailing Address - Street 1:3014 OSCEOLA LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-2436
Mailing Address - Country:US
Mailing Address - Phone:317-289-9251
Mailing Address - Fax:219-245-0028
Practice Address - Street 1:3014 OSCEOLA LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-2436
Practice Address - Country:US
Practice Address - Phone:317-289-9251
Practice Address - Fax:219-245-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care