MIRACLE HOUSES, INC.


Address: 2004 Twin Ave, Gastonia, NC 28052-1369
Phone: 7045354447

MIRACLE HOUSES, INC. (NPI# 1144510850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144510850
Entity Type Organization
Organization Name MIRACLE HOUSES, INC.
Practice Address 2004 Twin Ave
Gastonia
NC 28052-1369
Mailing Address 7508 E Independence Blvd
Suite 119
Charlotte
NC 28227-9473
Practice Telephone 7045354447
Practice Fax Number 7045354476
Mailing Telephone 7045354447
Mailing Fax Number 7045354476
Enumeration Date 2011-04-14
Last Update Date 2019-05-15
Authorized Official Name PATSY Y. CAMP (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7045354447
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC MHL036287 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457836736 Miracle Houses, Inc. Community Based Residential Treatment Facility, Mental Illness 7827 Kerry Brook Circle, Charlotte, NC 28214 2018-10-02
1285172460 Miracle Houses, Inc. Community/Behavioral Health 3316 Waxhaw Indian Trail Rd, Indian Trail, NC 28079-4233 2017-02-07
1336593698 Miracle Houses, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2627 Providence Rd, Charlotte, NC 28211-2238 2016-04-22
1457522930 Miracle Houses, Inc. Community Based Residential Treatment Facility, Mental Illness 5212 Swearngan Rd, Charlotte, NC 28216-2932 2008-03-12
1861090706 Miracle Houses, Inc. Community/Behavioral Health 320 Winchester Rd, Troutman, NC 28166-9644 2020-10-13
1912316910 Miracle Houses, Inc. Community/Behavioral Health 1750 Highway 160 W, Suite 101-319, Fort Mill, SC 29708-8009 2014-08-05
1831423672 Miracle Houses, Inc. Community/Behavioral Health 5500 Executive Center Dr, Ste. 201, Charlotte, NC 28212-8856 2009-09-28

Office Location

Street Address 2004 TWIN AVE
City GASTONIA
State NC
Zip Code 28052-1369

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053859488 Aa Plus Family Care Services, LLC Custodial Care Facility 190- B South Street, Gastonia, NC 28052 2017-02-06
1487028098 Stefanie Mann Counselor 165 West Franklin Blvd., Gastonia, NC 28052 2015-11-19
1659771343 Latisha Marsh Pharmacist 233 North Myrtle School, Gastonia, NC 28052 2014-08-29
1730598616 Erin Flitt Nurse Practitioner 425 North Marietta Street, Gastoni, NC 28052 2014-08-05
1568877199 Ebony Kyerra Kennedy Pharmacist 2206 West Franklin Blvd, Gastonia, NC 28052 2014-06-23
1821364209 Harcharan Singh Ophthalmology 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 2012-03-29
1437475365 Evelyn B Mcgill Counselor 102 N Yates Street, Gastonia, NC 28052 2010-04-16
1568696680 Fafli Inc Community/Behavioral Health 175 W. Main Avenue, Gaston County, NC 28052 2009-05-04
1558570630 Peggy May Currie Physical Therapist 710 Marietta St., Suite B, Gastonia, NC 28052 2007-05-22
1275753352 John Theodore Fox Dentist 601 S York St, Gastonia, NC 28052 2007-04-30
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245837061 Bliss Haven Group LLC Community Based Residential Treatment Facility, Mental Illness 2442 Sandhurst Ct, Gastonia, NC 28054-2738 2020-10-05
1801409859 Destiny & Miracle LLC Community Based Residential Treatment Facility, Mental Illness 1024 Houston St, Gastonia, NC 28052-1632 2020-08-28
1306381801 A Better Concept Community Based Residential Treatment Facility, Mental Illness 3019 Fallswood Dr, Gastonia, NC 28052-6054 2016-12-20
1861943474 Rockhouse Mental Health Care Agency LLC Community Based Residential Treatment Facility, Mental Illness 1518 Belmar Dr, Gastonia, NC 28052-5103 2016-10-18
1326474008 Melange Health Solutions, LLC Community Based Residential Treatment Facility, Mental Illness 1818 West Fifth Avenue, Gastonia, NC 28054 2013-09-25
1285983528 Alternative Community Penalties Program, Inc. Community Based Residential Treatment Facility, Mental Illness 400 East Fifth Avenue, Gastonia, NC 28054 2012-08-31
1164658597 Innovative Compliance Solutions Community Based Residential Treatment Facility, Mental Illness 4912 Duncan Ln, Gastonia, NC 28056-9361 2009-05-29
1417149311 Bridgebuilders Family & Youth Services Inc. Community Based Residential Treatment Facility, Mental Illness 1219 Cambridge Ave, Gastonia, NC 28054-1528 2007-08-14
1093838237 Footprints Carolina Inc Community Based Residential Treatment Facility, Mental Illness 970 Roberts Dr, Gastonia, NC 28054-5804 2007-04-10
1336282862 Assured Resource Environment Community Based Residential Treatment Facility, Mental Illness 1816 Middle St, Gastonia, NC 28052-7626 2007-02-15
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Competitor

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City GASTONIA
Zip Code 28052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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