MIRACLE RECOVERY CENTER, LLC (NPI# 1427385277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427385277 |
| Entity Type | Organization |
| Organization Name | MIRACLE RECOVERY CENTER, LLC |
| Other Organization Name | MIRACLE BY THE BAY |
| Practice Address |
3342 Venado St Carlsbad CA 92009-7849 |
| Mailing Address |
7668 El Camino Real #104-704 Carlsbad CA 92009-7932 |
| Practice Telephone | 8665388153 |
| Practice Fax Number | 7608148161 |
| Mailing Telephone | 8665388153 |
| Mailing Fax Number | 7608148161 |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2009-11-14 |
| Authorized Official Name | MRS. ALI JONES (DIRECTOR/CO-FOUNDER) |
| Authorized Official Telephone | 7604504604 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 370124AP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Miracle by the Bay | Doing Business As Name - Organization |
| Street Address |
3342 VENADO ST |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92009-7849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602798 | Aberdeen Physical Therapy Inc | Physical Therapist | 3218 Clalle Vallarta, Carlsbad, CA 92009 | 2020-09-08 |
| 1952949851 | Sandrelyn Chua | Registered Nurse | 3421 Calle Del Sur, Carlsbad, CA 92009 | 2019-12-11 |
| 1467938647 | Outshine Speech Therapy | Speech-Language Pathologist | 2647 Gateway Road Suit # 105, Carlsbad, CA 92009 | 2018-07-11 |
| 1154855906 | Tamara Chatfield | Marriage & Family Therapist | 2647 Gateway Rd., Ste. 105 #521, Carlsbad, CA 92009 | 2017-04-19 |
| 1548792039 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 830 N. Mariposa Ave, Los Angeles, CA 92009 | 2017-04-03 |
| 1649722380 | Dom Dop Van Nguyen | Pharmacist | 7440 Rancho Santa Fe Rd, Carlsbad, CA 92009 | 2016-10-28 |
| 1932575354 | Shabnam Moeini-ferdosi | Speech-Language Pathologist | 2684 Bressi Ranch Way, Carlsbad, CA 92009 | 2015-08-19 |
| 1073900858 | Thanh Luu and Tina Saw Dental Corp | Dentist | 7720 Rancho Santa Fe Road, Suite E, Carlsbad, CA 92009 | 2015-04-20 |
| 1922445873 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 832 N. Mariposa Ave, Los Angeles, CA 92009 | 2013-06-02 |
| 1982945457 | Carin Beth Hauptman | Speech-Language Pathologist | 2148 Avenida Toronja, Carlsbad, CA 92009 | 2013-03-08 |
| Find all providers in zip 92009 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164968590 | Kali West, LLC | Substance Abuse Rehabilitation Facility | 2912 Managua Pl, Carlsbad, CA 92009-7105 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MIRACLE RECOVERY CENTER, LLC.
| 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.