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TIMOTHY MIRACLE
NPI 1053123646
Homemaker in Willoughby, OH

Active since January 22, 2025
4898 WALDAMERE AVE, WILLOUGHBY, OH 44094(440) 479-3195 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Miracle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY MIRACLE (NPI 1053123646) is an individual homemaker provider in Willoughby, Ohio and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1053123646
Entity TypeIndividualMale
Primary Taxonomy376J00000X
Provider Legal NameTIMOTHY MIRACLE
Location Address4898 WALDAMERE AVEWilloughby, OH 44094-5771
Mailing Address4898 Waldamere AveWilloughby, OH 44094-5771 · (440) 479-3195
Phone(440) 479-3195
Sole ProprietorYes
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1053123646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
4898 WALDAMERE AVE, Willoughby, OH 44094
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEEN MIRACLE
Homemaker
4898 WALDAMERE AVE
WILLOUGHBY, OH 44094
Lake County (440) 479-4846
JAKE MIRACLE
Health and Wellness Coach
4898 WALDAMERE AVE
WILLOUGHBY, OH 44094
Lake County (440) 856-5727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Miracle's NPI number?

The NPI number for Timothy Miracle is 1053123646. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Timothy Miracle located?

Timothy Miracle practices at 4898 Waldamere Ave, Willoughby, OH 44094. The listed phone number is (440) 479-3195.

What is Timothy Miracle's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Timothy Miracle was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.