MIRANDA HOME HEALTH CARE INC
NPI 1588274310
Nursing Care in Flossmoor, IL
NPI Status: Active since August 06, 2020
Contact Information
19150 S. KEDZIE AVE
203
FLOSSMOOR, IL
ZIP 60422
Phone: (708) 922-3710
Fax: (708) 922-3715
- Organization
- Nursing Care
- CLIA Number: 14D1075562
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 10-22-2025
About MIRANDA HOME HEALTH CARE INC
This page provides the complete NPI Profile along with additional information for Miranda Home Health Care Inc, a provider established in Flossmoor, Illinois operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1588274310 assigned on August 2020. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jessica Nwakah (Administrator)
- NPI
- 1588274310
- Provider Name
- MIRANDA HOME HEALTH CARE INC
- Entity Type
- Organization
- Location Address
- 19150 S. KEDZIE AVE 203 FLOSSMOOR, IL 60422
- Location Phone
- (708) 922-3710
- Location Fax
- (708) 922-3715
- Mailing Address
- 19150 S. KEDZIE AVE 203 FLOSSMOOR, IL 60422
- Mailing Phone
- (708) 922-3710
- Mailing Fax
- (708) 922-3715
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-06-2020
- Last Update Date
- 05-19-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1075562
- Facility Type
- Home Health Agency
- Certificate Effective Date
- October 23, 2023
- Certificate Expiration Date
- October 22, 2025
- Laboratory Director
- JESSICA NWAKAH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Miranda Home Health Care Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 2 | 7 | 4 | 3 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 4 | 7 | 8 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 4 + 7 + 8 + 3 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1588274310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659956860 | TRANQUIL JOURNEY PLLC Organization | Social Worker (Clinical) | 19150 S. KEDZIE AVE SUITE 200 FLOSSMOOR, IL 60422 (708) 752-5306 |
| 1770919698 | SEAN COLLINS Individual | Counselor (Mental Health) | 19150 S. KEDZIE AVE SUITE 201 FLOSSMOOR, IL 60422 (708) 300-8864 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588274310, enumerated in the NPI registry as an "organization" on August 06, 2020
The provider is located at 19150 S. Kedzie Ave 203 Flossmoor, Il 60422 and the phone number is (708) 922-3710
This medical organization specializes in Nursing Care with taxonomy code 251J00000X
The provider's CLIA number is 14D1075562 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 06, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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