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MIRACLE LIVING HOMECARE LLC
NPI 1558048926
Home Health in Brooklyn Center, MN

Active since June 28, 2023CLIA 24D2293297 · Waiver
7038 BROOKLYN BLVD STE I, BROOKLYN CENTER, MN 55429(763) 221-6529 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miracle Living Homecare Llc NPPES

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

MIRACLE LIVING HOMECARE LLC (NPI 1558048926) is a healthcare organization registered as a home health in Brooklyn Center, Minnesota and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Melissa Johnston, Owner, as its authorized official.

NPPES Registry Identity

NPI1558048926
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMIRACLE LIVING HOMECARE LLC
Location Address7038 BROOKLYN BLVD STE IBrooklyn Center, MN 55429-1370
Mailing Address9401 White Oaks TrlChamplin, MN 55316-2677 · (763) 221-6529
Phone(763) 221-6529
Organization SubpartNo
Authorized OfficialMelissa JohnstonOwner · (763) 221-6529
Enumeration DateJune 28, 2023
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1558048926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
7038 BROOKLYN BLVD STE I, Brooklyn Center, MN 55429
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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 24D2293297

Miracle Living Homecare, LLC · Brooklyn Center, MN
Active · expires Nov 6, 2027
CLIA Number24D2293297
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorMelissa Johnston
Laboratory Phone(763) 221-6529
Laboratory LocationMiracle Living Homecare, LLC7038 Brooklyn Blvd Unit I, Brooklyn Center, MN 55429
CLIA data matches this NPI record on: Address Name 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 Miracle Living Homecare LLC's NPI number?

The NPI number for Miracle Living Homecare LLC is 1558048926. It was assigned to this organization in the NPPES registry on June 28, 2023.

Where is Miracle Living Homecare LLC located?

Miracle Living Homecare LLC is located at 7038 Brooklyn Blvd Ste I, Brooklyn Center, MN 55429. The listed phone number is (763) 221-6529.

What is Miracle Living Homecare LLC's specialty?

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

Does Miracle Living Homecare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2293297) is associated with this NPI, valid through November 6, 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 Miracle Living Homecare LLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.