MIRACLE CARE DMEPOS
NPI 1952088205
Durable Medical Equipment & Medical Supplies in Wadena, MN

NPI Status: Active since June 29, 2023

Contact Information

204 JEFFERSON ST N
WADENA, MN
ZIP 56482
Phone: (612) 688-7661
Fax: (612) 688-7672

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About MIRACLE CARE DMEPOS

This page provides the complete NPI Profile along with additional information for Miracle Care Dmepos, a provider established in Wadena, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1952088205 assigned on June 2023. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jatty D. Zondo (Ceo)

NPI
1952088205
Provider Name
MIRACLE CARE DMEPOS
Entity Type
Organization
Location Address
204 JEFFERSON ST N WADENA, MN 56482
Location Phone
(612) 688-7661
Location Fax
(612) 688-7672
Mailing Address
204 JEFFERSON ST N WADENA, MN 56482
Mailing Phone
(612) 688-7661
Mailing Fax
(612) 688-7672
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-29-2023
Last Update Date
10-14-2023
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 
2332BD1200XSuppliers

Durable Medical Equipment & Medical Supplies
Dialysis Equipment & Supplies

 
3332BN1400XSuppliers

Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies

 
4332BP3500XSuppliers

Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition

 
5332BX2000XSuppliers

Durable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JATTY D. ZONDO

Authorized Official Title
CEO
Authorized Official Phone
(612) 688-7661

Reviews for MIRACLE CARE DMEPOS

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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.
1952088205
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102081620
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 0 + 8 + 1 + 6 + 2 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1952088205 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770573529 MICHAEL FRANK MERTENS RPH
Individual
Pharmacist204 JEFFERSON ST N
WADENA, MN 56482
(218) 631-2402
1922146836MERTENS DRUG INC
Organization
Pharmacy (Community/Retail Pharmacy)204 JEFFERSON ST N
WADENA, MN 56482
(218) 631-2402
1922756154MIRACLE CARE STAFFING, LLC
Organization
Nursing Care204 JEFFERSON ST N
WADENA, MN 56482
(612) 261-7295

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952088205, enumerated in the NPI registry as an "organization" on June 29, 2023

The provider is located at 204 Jefferson St N Wadena, Mn 56482 and the phone number is (612) 688-7661

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on June 29, 2023. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.