NPI 1699526640 · live from the CMS NPI Registry
A Miracle Home Care
In Home Supportive Care in Savannah, GA. National Provider Identifier 1699526640, active.
NPI record
| NPI | 1699526640 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 3 Hidden Lagoon Ct, Savannah, GA 31419 |
| Practice phone | 912-667-7970 |
| Enumerated | March 28, 2024 |
| Last updated | March 28, 2024 |
| Authorized official | Connie Williams, Operational Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Home Health | 163WH0200X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.