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MIRACLE HEALTHCARE LLC
NPI 1780908228
Nurse Practitioner - Family in Bolivar, TN

Active since March 25, 2010
649B W MCNEAL ST, BOLIVAR, TN 38008(731) 658-2885(731) 658-2886 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miracle Healthcare Llc NPPES

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

MIRACLE HEALTHCARE LLC (NPI 1780908228) is a healthcare organization registered as a family in Bolivar, Tennessee and active in the NPI registry since March 2010. The organization lists Latosha Messenger, Owner, as its authorized official.

NPPES Registry Identity

NPI1780908228
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMIRACLE HEALTHCARE LLC
Location Address649B W MCNEAL STBolivar, TN 38008-2519
Mailing Address649b W Mcneal StBolivar, TN 38008-2519 · (731) 658-2885 · Fax (731) 658-2886
Phone(731) 658-2885
Fax(731) 658-2886
Organization SubpartNo
Authorized OfficialLatosha MessengerOwner · (731) 658-2885
Enumeration DateMarch 25, 2010
✔ NPI 1780908228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
649B W MCNEAL ST, Bolivar, TN 38008
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARK FAMILY CLINIC, LLC
Clinic/Center (Primary Care)
649B W MCNEAL ST
BOLIVAR, TN 38008
Hardeman County (731) 212-3324

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 Healthcare LLC's NPI number?

The NPI number for Miracle Healthcare LLC is 1780908228. It was assigned to this organization in the NPPES registry on March 25, 2010.

Where is Miracle Healthcare LLC located?

Miracle Healthcare LLC is located at 649B W Mcneal St, Bolivar, TN 38008. The listed phone number is (731) 658-2885.

What is Miracle Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Miracle Healthcare LLC was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.