MIRACLE KIDS SUCCESS ACADEMY, INC. (NPI# 1356671366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356671366 |
| Entity Type | Organization |
| Organization Name | MIRACLE KIDS SUCCESS ACADEMY, INC. |
| Practice Address |
200 General St Batesville AR 72501-9407 |
| Practice Telephone | 8707933200 |
| Practice Fax Number | 8707933208 |
| Mailing Telephone | 8707933200 |
| Mailing Fax Number | 8707933208 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | MARY-KATHERINE HARDIN (OWNER/SECRETARY) |
| Authorized Official Telephone | 8707933200 |
| Authorized Official Credential | MCD, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 179780724 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639791411 | Miracle Kids Success Academy, Inc. | Clinic/Center | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-05-14 |
| 1568799658 | Miracle Kids Success Academy, Inc. | Clinic/Center | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2009-11-10 |
| Street Address |
200 GENERAL ST |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-9407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619184959 | Heather Clark | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2007-05-17 |
| 1568005965 | Susanna Rodriguez | Licensed Practical Nurse | 200 General St, Batesville, AR 72501-9407 | 2019-10-18 |
| 1316593320 | Meagan Ivy | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2019-08-15 |
| 1164078168 | Amber N Ford | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2019-08-15 |
| 1447810619 | Freda Sanders | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2019-06-19 |
| 1902461346 | Katelynn Creekmore | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2019-05-01 |
| 1801451240 | Kaelin Anderson | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2019-05-01 |
| 1336704774 | Stacey Bailey | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2019-05-01 |
| 1407411846 | Dannah Norris | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2019-05-01 |
| 1952966392 | Jessica Castillejo | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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|---|---|---|---|---|
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1417512369 | Kids Unlimited Learning Academy of Springdale | Clinic/Center | 1268 Electric Ave, Springdale, AR 72764-7498 | 2019-05-07 |
| 1063912871 | Sygnificare, LLC | Clinic/Center | 10201 W Markham St Ste 105, Little Rock, AR 72205-2180 | 2018-02-19 |
| 1962853358 | Quality Rehab-st. Francis LLC | Clinic/Center | 1800 Stephens Dr, Forrest City, AR 72335-8118 | 2016-06-27 |
| 1588037196 | Wolf Wellness Center, Pllc | Clinic/Center | 23 Parkcliff Dr, Holiday Island, AR 72631-9230 | 2015-11-04 |
| 1740607431 | Kidz Palace Therapy LLC | Clinic/Center | 7123 Interstate 30 Ste 25, Little Rock, AR 72209-3184 | 2014-03-20 |
| 1699114132 | Kids Unlimited Learning Academy of Cabot, Inc. | Clinic/Center | 2792 S 2nd St, Suites B & C, Cabot, AR 72023-7020 | 2013-06-18 |
| 1548569585 | East Arkansas Physical Therapy | Clinic/Center | 3150 N Washington, Forrest City, AR 72335 | 2011-03-16 |
| 1205024908 | In Sight Low Vision Services LLC | Clinic/Center | 601 County Road 155, Eureka Springs, AR 72632-9229 | 2007-10-07 |
| 1679779920 | Kymes-lyons Physical Therapy and Sports Performance Center Pa | Clinic/Center | 575 Club Lane, Conway, AR 72032 | 2007-06-25 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.