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: July 19, 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 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, 2025
Certificate Expiration Date
October 22, 2027
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093059453, enumerated as an "organization" on November 23, 2012.

The provider is located at 2644 DEMPSTER ST STE 101A PARK RIDGE, IL 60068 and the phone number is (708) 922-3710.

Home Health with taxonomy code 251E00000X.