MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD NPI 1164026589

NPI Information

  • NPI: 1164026589
  • Provider Name: MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 1910 RECTOR RD
    PARAGOULD, AR
    ZIP 72450
  • Phone: (870) 240-8900

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NPI Details

MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD is a developmental disabilities clinic center in Paragould, AR. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD NPI is 1164026589. The provider is registered as an organization entity type.

The provider's business location address is:

1910 RECTOR RD
PARAGOULD, AR
ZIP 72450-004
Phone: (870) 240-8900

The provider's authorized official is Shelly A Keller .
The authorized official title is Ceo and has the following contact phone number (870) 336-8100.

The enumeration date for this NPI number is 11/25/2020 and was last updated on 12/18/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes
2261QR0400XClinic/CenterRehabilitationNo

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: 3/30/2025

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