MIRRAH IMAGE SERVICES LLC
NPI 1104449784
In Home Supportive Care in Leesburg, FL
NPI Status: Active since May 18, 2020
Contact Information
2862 W MAIN ST
LEESBURG, FL
ZIP 34748
Phone: (407) 813-2112
- Organization
- In Home Supportive Care
- CLIA Number: 10D2277062
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 02-20-2027
About MIRRAH IMAGE SERVICES LLC
This page provides the complete NPI Profile along with additional information for Mirrah Image Services Llc, a provider established in Leesburg, Florida operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1104449784 assigned on May 2020. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Jennifer Dickens (Owner)
- NPI
- 1104449784
- Provider Name
- MIRRAH IMAGE SERVICES LLC
- Entity Type
- Organization
- Location Address
- 2862 W MAIN ST LEESBURG, FL 34748
- Location Phone
- (407) 813-2112
- Mailing Address
- 2862 W MAIN ST LEESBURG, FL 34748
- Mailing Phone
- (407) 813-2112
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2020
- Last Update Date
- 03-17-2026
- 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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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) |
|---|---|---|---|---|
| 1 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| 2 | 251E00000X | Agencies | Home Health | |
| 3 | 385HR2060X | Respite Care Facility | Respite Care |
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
- 10D2277062
- Facility Type
- Home Health Agency
- Certificate Effective Date
- February 21, 2025
- Certificate Expiration Date
- February 20, 2027
- Laboratory Director
- JENNIFER DICKENS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mirrah Image Services Llc 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104449784, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104449784, enumerated as an "organization" on May 18, 2020.
The provider is located at 2862 W MAIN ST LEESBURG, FL 34748 and the phone number is (407) 813-2112.
In Home Supportive Care with taxonomy code 253Z00000X.
