Angel Miracle Care

LBN: Angel Miracle Care
Angel Miracle Care is an health care organization with primary practice located at 621 Vanderbilt Loop , Yaphank NY 11980-2051. The organization recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as the primary health care specialty. Angel Miracle Care can be contacted via phone (516) 265-6525, or through Bryant, Shakiera Simone via phone (516) 265-6525.

Contact Information

Primary practice address
621 Vanderbilt Loop Yaphank NY 11980-2051
Phone: (516) 265-6525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bryant, Shakiera Simone
Phone: (516) 265-6525

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X

Profile Details

NPI number 1831943794
LBN Legal business name Angel Miracle Care
DBA Doing business as
Authorized official Bryant, Shakiera Simone
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2024
Last updated Apr 16th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831943794 NPPES
New York MEDICAID 1205129103

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