Provider Demographics
NPI:1851969679
Name:MIRACLE HEARTS & HANDS PLLC
Entity Type:Organization
Organization Name:MIRACLE HEARTS & HANDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:KINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-275-3549
Mailing Address - Street 1:301 W BAY ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-5100
Mailing Address - Country:US
Mailing Address - Phone:904-274-5784
Mailing Address - Fax:
Practice Address - Street 1:301 W BAY ST STE 1400
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-5100
Practice Address - Country:US
Practice Address - Phone:904-274-5784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)