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MIRACLE KIDS SUCCESS ACADEMY NORTH NPI 1255935680


NPI Information

NPI: 1255935680
Provider Name: MIRACLE KIDS SUCCESS ACADEMY NORTH
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
806 GLENDALE ST
JONESBORO, AR
ZIP 72401
Phone: (870) 333-2600
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MIRACLE KIDS SUCCESS ACADEMY NORTH is a developmental disabilities clinic center in Jonesboro, 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 NORTH NPI is 1255935680. The provider is registered as an organization entity type.

The provider's business location address is:

806 GLENDALE ST
JONESBORO, AR
ZIP 72401-455
Phone: (870) 333-2600

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.