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Angel Miracle Care

Licensed Practical Nurse in Yaphank, NY · enumerated 2024 · authorized official Shakiera Bryant, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831943794

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Registry record

Entity type Organization (Type 2)
Legal business name Angel Miracle Care
Practice address 621 Vanderbilt Loop, Yaphank, NY, 11980
Enumeration date Apr 16, 2024
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

164W00000X Licensed Practical Nurse Nursing Service Providers Primary

Authorized official

Name Shakiera Bryant
Title Owner

Other identifiers

Identifier Type State Issuer
1205129103 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Angel Miracle Care located?
The practice location on file with NPPES is in Yaphank, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.