Provider Demographics
NPI:1962797985
Name:A MIRACLE HOME CARE CO.
Entity type:Organization
Organization Name:A MIRACLE HOME CARE CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GALITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-616-0544
Mailing Address - Street 1:1715 HARMON DR.
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215
Mailing Address - Country:US
Mailing Address - Phone:513-616-0544
Mailing Address - Fax:513-297-9217
Practice Address - Street 1:10901 REED HARTMAN HWY
Practice Address - Street 2:SUITE# 205
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2831
Practice Address - Country:US
Practice Address - Phone:513-793-2000
Practice Address - Fax:888-712-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health