MIRANDA HOME HEALTH CARE INC
NPI 1093059453
Home Health in Park Ridge, IL

Active since November 23, 2012CLIA 14D1075562 · Waiver
2644 DEMPSTER ST STE 101A, PARK RIDGE, IL 60068(708) 922-3710(708) 922-3715 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2024, Dec 1, 2021, Nov 15, 2021 and 1 more (4 updates tracked since 2020).

About Miranda Home Health Care Inc NPPES

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

MIRANDA HOME HEALTH CARE INC (NPI 1093059453) is a healthcare organization registered as a home health in Park Ridge, Illinois and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Insia Tabrezi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093059453
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMIRANDA HOME HEALTH CARE INC
Location Address2644 DEMPSTER ST STE 101APark Ridge, IL 60068-8430
Mailing Address19150 S. Kedzie Ave, 203Flossmoor, IL 60422-1222
Fax(708) 922-3715
Organization SubpartNo
Authorized OfficialInsia TabreziAdministrator · (630) 880-6246
Enumeration DateNovember 23, 2012
Last NPPES UpdateNovember 15, 20244 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1093059453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
2644 DEMPSTER ST STE 101A, Park Ridge, IL 60068

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1075562

Miranda Home Healthcare Inc · Flossmoor, IL
Active · expires Oct 22, 2027
CLIA Number14D1075562
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorJessica Nwakah
Laboratory Phone(708) 922-3710
Laboratory LocationMiranda Home Healthcare Inc19150 S Kedzie Ave - Ste 203, Flossmoor, IL 60422
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Miranda Home Health Care Inc's NPI number?

The NPI number for Miranda Home Health Care Inc is 1093059453. It was assigned to this organization in the NPPES registry on November 23, 2012.

Where is Miranda Home Health Care Inc located?

Miranda Home Health Care Inc is located at 2644 Dempster St Ste 101A, Park Ridge, IL 60068. The listed phone number is (708) 922-3710.

What is Miranda Home Health Care Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Miranda Home Health Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1075562) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miranda Home Health Care Inc was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.