Timothy Miracle

Homemaker · Willoughby, OH

Individual Active NPI

NPI number 1053123646

Practice location

4898 Waldamere Ave
Willoughby, OH 44094-5771
Phone
(440) 479-3195

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NPI record

NPI
1053123646
Entity type
Individual (Type 1)
Enumeration date
January 22, 2025
Last updated
January 22, 2025
Certified
January 22, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Homemaker Primary 376J00000X — —

About Timothy Miracle

Timothy Miracle is a healthcare provider registered in the NPI registry with the primary taxonomy Homemaker (code 376J00000X). The practice location is 4898 Waldamere Ave, Willoughby, OH 44094-5771. The NPI number 1053123646 was assigned on January 22, 2025 and the record was last updated on January 22, 2025.

Frequently asked questions

What is the NPI number of Timothy Miracle?

The NPI number is 1053123646.

What is the phone number of Timothy Miracle?

The phone number listed for the practice location is (440) 479-3195.

Where is Timothy Miracle located?

4898 Waldamere Ave, Willoughby, OH 44094-5771.

What is the taxonomy code for Timothy Miracle?

The primary taxonomy code is 376J00000X – Homemaker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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