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MIRACLE KENNON
NPI 1417403163
Home Health Aide in Los Angeles, CA

Active since August 31, 2016
711 W 54TH ST, LOS ANGELES, CA 90037(323) 593-1035 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miracle Kennon NPPES

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

MIRACLE KENNON (NPI 1417403163) is an individual home health aide in Los Angeles, California, licensed in California (D8116361) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1417403163
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameMIRACLE KENNON
Location Address711 W 54TH STLos Angeles, CA 90037-3723
Mailing Address711 W 54th StLos Angeles, CA 90037 · (323) 593-1035
Phone(323) 593-1035
Sole ProprietorNo
Enumeration DateAugust 31, 2016
✔ NPI 1417403163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in CA · D8116361
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
711 W 54TH ST, Los Angeles, CA 90037
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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 Miracle Kennon's NPI number?

The NPI number for Miracle Kennon is 1417403163. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Miracle Kennon located?

Miracle Kennon practices at 711 W 54th St, Los Angeles, CA 90037. The listed phone number is (323) 593-1035.

What is Miracle Kennon's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Miracle Kennon was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.