# MERCY & MIRACLE HEALTH SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy & Miracle Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144998014
- **Authorized official:** DR. SANDRA JOHNSON DM PHD (OWNER)
- **Authorized official phone:** (314) 401-8028

## Contact information

- **Practice address:** 514 EARTH CITY PLZ STE 312, EARTH CITY, MO 63045-1303
- **Practice address phone:** (314) 222-8130
- **Practice address fax:** (314) 492-0196
- **Mailing address:** 514 EARTH CITY PLZ STE 312, EARTH CITY, MO 63045-1303
- **Mailing address phone:** (314) 222-8130
- **Mailing address fax:** (314) 492-0196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/03/2021
- **Last updated:** 09/30/2026