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MIRACLE HOUSES INC NPI 1679058440


NPI Information

NPI: 1679058440
Provider Name: MIRACLE HOUSES INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
7827 KERRYBROOK CIR
CHARLOTTE, NC
ZIP 28214
Phone: (704) 535-4447
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MIRACLE HOUSES INC is a residential treatment facility emotionally disturbed children in Charlotte, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MIRACLE HOUSES INC NPI is 1679058440. The provider is registered as an organization entity type.

The provider's business location address is:

7827 KERRYBROOK CIR
CHARLOTTE, NC
ZIP 28214-513
Phone: (704) 535-4447
Fax: (704) 535-4476

The provider's authorized official is Patsy Young Camp .
The authorized official title is Executive Director and has the following contact phone number (704) 535-4447.

The enumeration date for this NPI number is 9/27/2018 and was last updated on 1/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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