# MIRANDA HOME HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093059453
- **Authorized official:** INSIA TABREZI (ADMINISTRATOR)
- **Authorized official phone:** (630) 880-6246

## Contact information

- **Practice address:** 2644 DEMPSTER ST STE 101A, PARK RIDGE, IL 60068-8430
- **Practice address phone:** (708) 922-3710
- **Practice address fax:** (708) 922-3715
- **Mailing address:** 19150 S. KEDZIE AVE, 203, FLOSSMOOR, IL 60422-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | IL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/23/2012
- **Last updated:** 11/15/2024