MIRACLE HOUSES, INCORPORATED (NPI# 1154675403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154675403 |
| Entity Type | Organization |
| Organization Name | MIRACLE HOUSES, INCORPORATED |
| Practice Address |
260 18th St Nw Unit 10212 Atlanta GA 30363 |
| Mailing Address |
544 Mulberry St Ste 613 Macon GA 31201-6324 |
| Practice Telephone | 7043153895 |
| Practice Fax Number | 7045354476 |
| Mailing Telephone | 7043153895 |
| Mailing Fax Number | 7045354476 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | MRS. PATSY YOUNG CAMP (EXECUTIVE DIRECTOR/VICE PRESIDENT) |
| Authorized Official Telephone | 7043691445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1861796179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801023114 | Miracle Houses, Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5500 Executive Center Dr, Ste. 201, Charlotte, NC 28212-8856 | 2009-06-12 |
| Street Address |
260 18TH ST NW UNIT 10212 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144675398 | Giles Holdings International LLC | In Home Supportive Care | 260 18th St Nw, Suite 10216, Atlanta, GA 30363-1121 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528416120 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 375 18th St, Atlanta, GA 30363 | 2016-05-25 |
| 1588906739 | Zhong Zheng | Otolaryngology | 2061 Peachtree Rd Nw Suite 300, Atlanta, GA 30363 | 2013-03-25 |
| 1689050676 | Kimberly M Lee-okonya | Social Worker | 201 17th St Nw, Suite 300, Atlanta, GA 30363 | 2015-08-03 |
| 1144391715 | Reginald Stephen Fowler | Internal Medicine | 232 19th St Nw, Suite 7220, Atlanta, GA 30363 | 2006-11-13 |
| 1639562838 | Mara Rowland | Physical Therapist | 400 17th St Nw Unit 2415, Atlanta, GA 30363-1057 | 2015-03-12 |
| 1073124178 | Erin Marriott | Pharmacist | 171 17th St Nw Ste 1400, Atlanta, GA 30363-1069 | 2020-08-12 |
| 1952768632 | Angele Shropshire | Counselor | 230 18th St Nw, 11211, Atlanta, GA 30363-1073 | 2016-01-26 |
| 1184177362 | Akiscia Washington | Homeopath | 230 18th St Nw, Unit 11326, Atlanta, GA 30363-1073 | 2016-07-25 |
| 1679907661 | Katrina Walker | Pharmacist | 361 17th St Nw, Unit 913, Atlanta, GA 30363-1078 | 2013-08-26 |
| 1700111465 | Ivan Nemorin | Respiratory Therapist, Registered | 470 16th St Nw, Atlanta, GA 30363-1097 | 2009-10-13 |
| Find all providers in zip 30363 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1700427820 | Trust2change, LLC. | Community/Behavioral Health | 2900 Chamblee Tucker Rd Bldg 8, Atlanta, GA 30341-4100 | 2019-09-30 |
| 1538712088 | Ferris Healthcare Group | Community/Behavioral Health | 2900 Paces Ferry Rd Se Bldg C, Atlanta, GA 30339-5702 | 2019-07-23 |
| 1245890987 | Soc Integrated Services, LLC | Community/Behavioral Health | 130 Wynfield Way Sw, Atlanta, GA 30331-6837 | 2019-06-15 |
| 1770046740 | Z-one Incorporated | Community/Behavioral Health | 505 Tufton Trl Se, Atlanta, GA 30354-2867 | 2019-04-08 |
| 1003377086 | Chris 180, Inc. | Community/Behavioral Health | 3700 Martin Luther King Dr Sw, Atlanta, GA 30331-3674 | 2019-03-30 |
| 1144790783 | Danielle Smith | Community/Behavioral Health | 880 Glenwood Ave Se Unit 3185, Atlanta, GA 30316-1955 | 2018-11-27 |
| 1073083762 | Michael Pollock | Community/Behavioral Health | 3725 Princeton Lakes Pkwy Sw Apt 7003, Atlanta, GA 30331-5560 | 2018-11-26 |
| 1851881353 | Atlanta Life Journeys Services, LLC | Community/Behavioral Health | 3196 Dogwood Dr, Atlanta, GA 30354-1149 | 2018-05-10 |
| Find all providers in ATLANTA | ||||
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| 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.