MIRACLE HOUSES, INC. (NPI# 1336593698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336593698 |
| Entity Type | Organization |
| Organization Name | MIRACLE HOUSES, INC. |
| Practice Address |
2627 Providence Rd Charlotte NC 28211-2238 |
| Practice Telephone | 9809388304 |
| Mailing Telephone | 9809388304 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | MRS. PATSY Y CAMP (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7043691445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 111204 | 05 |
| 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 |
| 1144510850 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2004 Twin Ave, Gastonia, NC 28052-1369 | 2011-04-14 |
| 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 |
| Street Address |
2627 PROVIDENCE RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938140 | Miracle Health Care Services LLC | Community/Behavioral Health | 2627 Providence Rd, Charlotte, NC 28211-2238 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1982144796 | Care Connection Help,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 206 Cottonwood Park Dr, Charlotte, NC 28214-8700 | 2017-02-27 |
| 1841741980 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8611 Parkland Cir, #101, Charlotte, NC 28227-2211 | 2016-10-24 |
| 1255882494 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7911 Rusty Plow Ct, Charlotte, NC 28216-6837 | 2016-10-24 |
| 1114386059 | Elite Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4933 Farm Pond Ln, Charlotte, NC 28212-8582 | 2016-02-21 |
| 1699196766 | Reese Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Mcallister Dr Apt C, Charlotte, NC 28216-0050 | 2013-12-17 |
| 1134408719 | A New Beginning II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6002 Lillyshire Pl, Charlotte, NC 28213-4315 | 2011-08-12 |
| 1750689253 | Leap of Faith Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8420 Strider Dr, Charlotte, NC 28212-1555 | 2011-03-08 |
| 1174826390 | Peggy Green | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6400 Ivory Palm Dr, Charlotte, NC 28227-2435 | 2010-12-09 |
| Find all providers in CHARLOTTE | ||||
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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.