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ANGEL MIRACLE CARE
NPI 1831943794
Licensed Practical Nurse in Yaphank, NY

Active since April 16, 2024
621 VANDERBILT LOOP, YAPHANK, NY 11980(516) 265-6525 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Apr 16, 2024 (2 updates tracked since 2024).

About Angel Miracle Care NPPES

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

ANGEL MIRACLE CARE (NPI 1831943794) is a healthcare organization registered as a licensed practical nurse in Yaphank, New York and active in the NPI registry since April 2024. The organization lists Shakiera Simone Bryant, Owner, as its authorized official.

NPPES Registry Identity

NPI1831943794
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameANGEL MIRACLE CARE
Location Address621 VANDERBILT LOOPYaphank, NY 11980-2051
Mailing Address621 Vanderbilt LoopYaphank, NY 11980-2051 · (516) 265-6525
Phone(516) 265-6525
Organization SubpartNo
Authorized OfficialShakiera Simone BryantOwner · (516) 265-6525
Enumeration DateApril 16, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1831943794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Other Identifiers 1

Medicaid1205129103NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Angel Miracle Care's NPI number?

The NPI number for Angel Miracle Care is 1831943794. It was assigned to this organization in the NPPES registry on April 16, 2024.

Where is Angel Miracle Care located?

Angel Miracle Care is located at 621 Vanderbilt Loop, Yaphank, NY 11980. The listed phone number is (516) 265-6525.

What is Angel Miracle Care's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angel Miracle Care was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.