MIRACLES RECOVERY CENTER LLC. NPI 1356819650

NPI Information

  • NPI: 1356819650
  • Provider Name: MIRACLES RECOVERY CENTER, LLC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2314650
  • Address: 584 NW UNIVERSITY BLVD
    PORT ST LUCIE, FL
    ZIP 34986
  • Phone: (772) 249-4988

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NPI Details

MIRACLES RECOVERY CENTER, LLC. is a rehabilitation and substance use disorder clinic center in Port St Lucie, FL. MIRACLES RECOVERY CENTER, LLC. NPI is 1356819650. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

584 NW UNIVERSITY BLVD
PORT ST LUCIE, FL
ZIP 34986-268
Phone: (772) 249-4988
Fax: (772) 353-4047

The provider's authorized official is Jeffrey Blossom .
The authorized official title is Owner/ceo and has the following contact phone number (772) 766-0215.

The CLIA number assigned to this NPI record is 10D2314650 - other - substance use treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2018 and was last updated on 9/2/2025.

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
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 11/21/2025

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