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Miracle Healthcare Llc
VA Clinic/Center in Homewood, Illinois
NPI 1437636966

Miracle Healthcare Llc is a VA Clinic/Center based in Olympia Fields, IL and is specialized in VA. Miracle Healthcare Llc practices in Homewood, IL. The NPI Number for Miracle Healthcare Llc is 1437636966 and holds a License No. 4000553 (Illinois).

The current practice location address for Miracle Healthcare Llc is 2024 Hickory Rd Ste 306, Homewood, IL and can be reached out via phone at 773-573-9843.

Location: 2024 Hickory Rd Ste 306, Homewood, IL, 60461-1872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437636966
Provider Name
Miracle Healthcare Llc
Credential
Provider Entity Type
Organization
Address
2024 Hickory Rd Ste 306, Homewood, IL, 60461-1872
Phone Number
773-573-9843
Fax Number
Provider Enumeration Date
07/26/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2024 Hickory Rd Ste 306
City
Homewood
State
Illinois
Zip
60430
Phone Number
773-573-9843
Fax Number
person
Provider Business Mailing Address Details
Address
2024 Hickory Rd Ste 306
City
Homewood
State
Illinois
Zip
60430
Phone Number
773-573-9843
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
4000553 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
4000553 (Illinois)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
4000553 (Illinois)
Definition
Definition to come...
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