Miracle Healthcare Providers

LBN: Tailor Made Outreach Company Llc
Miracle Healthcare Providers is an health care organization with primary practice located at 301 Higgins Ave Ste 108 , Knoxville TN 37920-3006. The organization recently has 4 registered licenses in different health care specialties including Agencies / Foster Care Agency, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation. Agencies / In Home Supportive Care is the primary health care specialty. Tailor Made Outreach Company Llc can be contacted via phone (704) 649-4374, or through Camp, Shanairea M via phone (704) 649-4374.

Contact Information

Primary practice address
301 Higgins Ave Ste 108 Knoxville TN 37920-3006
Phone: (704) 649-4374
Fax: (865) 999-4961
Website:
Map and Directions
Authorized official contact:
Name: Camp, Shanairea M
Phone: (704) 649-4374

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 1000000020165 Tennessee
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X Tennessee

Profile Details

NPI number 1750817003
LBN Legal business name Tailor Made Outreach Company Llc
DBA Doing business as Miracle Healthcare Providers
Authorized official Camp, Shanairea M
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750817003 NPPES
Tennessee MEDICAID Q031164

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