# JEFFERY'S MIRACLE HOME CARE LLC

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

## Provider details

- **NPI number:** 1427937903
- **Authorized official:** SHANNON MCBRIDE (OWNER)
- **Authorized official phone:** (317) 794-6198

## Contact information

- **Practice address:** 75 N MAIN ST, ZIONSVILLE, IN 46077-1547
- **Practice address phone:** (317) 794-9168
- **Mailing address:** 3910 INDUSTRIAL BLVD, INDIANAPOLIS, IN 46254-2510
- **Mailing address phone:** (317) 794-9168

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2025
- **Last updated:** 01/22/2026