institution
Miracle Home Health Of Wisconsin Inc
Home Health Agency in Glendale, Wisconsin
NPI 1851667703

Miracle Home Health Of Wisconsin Inc is a Home Health Agency based in Glendale, WI. Miracle Home Health Of Wisconsin Inc practices in Glendale, WI. The NPI Number for Miracle Home Health Of Wisconsin Inc is 1851667703 and holds a License No. 1174 (Wisconsin).

The current practice location address for Miracle Home Health Of Wisconsin Inc is 7545 N Port Washington Rd Ste 3, Glendale, WI and can be reached out via phone at 414-797-2254 and via fax at 888-910-5128.

Location: 7545 N Port Washington Rd Ste 3, Glendale, WI, 53217-3422
institution
Provider Profile Details
NPI Number
1851667703
Provider Name
Miracle Home Health Of Wisconsin Inc
Credential
Provider Entity Type
Organization
Address
7545 N Port Washington Rd Ste 3, Glendale, WI, 53217-3422
Phone Number
414-797-2254
Fax Number
888-910-5128
Provider Enumeration Date
03/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100039227 05 WI
institution
Provider Business Practice Location Address Details
Address
7545 N Port Washington Rd Ste 3
City
State
Zip
53217-3422
Phone Number
414-797-2254
Fax Number
888-910-5128
person
Provider Business Mailing Address Details
Address
7545 N Port Washington Rd Ste 3
City
State
Zip
53217-3422
Phone Number
414-797-2254
Fax Number
888-910-5128
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
1174 (Wisconsin)
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.
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