Provider Demographics
NPI:1225844020
Name:MIRACLES ON THE MOVE
Entity type:Organization
Organization Name:MIRACLES ON THE MOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-870-1090
Mailing Address - Street 1:609 CHERRYCREST RD UNIT G
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1451
Mailing Address - Country:US
Mailing Address - Phone:443-870-1090
Mailing Address - Fax:
Practice Address - Street 1:609 CHERRYCREST RD UNIT G
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1451
Practice Address - Country:US
Practice Address - Phone:443-870-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health