MIRACLE OUTLOOK FAMILY SERVICES


Address: 2404 Ferrand St., Suite 21, Monroe, LA 71201-4954
Phone: 3183240048

MIRACLE OUTLOOK FAMILY SERVICES (NPI# 1003090317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003090317
Entity Type Organization
Organization Name MIRACLE OUTLOOK FAMILY SERVICES
Practice Address 2404 Ferrand St.
Suite 21
Monroe
LA 71201-4954
Mailing Address 2404 Ferrand St
Suite 21
Monroe
LA 71201-3234
Practice Telephone 3183240048
Mailing Telephone 3183240048
Enumeration Date 2007-12-21
Last Update Date 2017-04-28
Authorized Official Name RGINA LYNN JACKSON (OWNER)
Authorized Official Telephone 3183240048
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services 10403 LA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
LA 1017639 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205132255 Miracle Outlook Family Services Community/Behavioral Health 101 Lakeshore Dr, Suite 12, Monroe, LA 71203-4954 2011-02-08
1295768075 Miracle Outlook Family Services Home Health 2404 Ferrand St, Suite 21, Monroe, LA 71201-3234 2006-07-08
1306020615 Miracle Outlook Family Services Day Training, Developmentally Disabled Services 2404 Ferrand St, Suite 21, Monroe, LA 71201-4954 2007-12-21
1932395340 Miracle Outlook Family Services Day Training, Developmentally Disabled Services 2404 Ferrand St, Suite 21, Monroe, LA 71201-3234 2007-09-19

Office Location

Street Address 2404 FERRAND ST.
SUITE 21
City MONROE
State LA
Zip Code 71201-4954

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043831035 Tammy Price Social Worker 414 Pine Street, Monroe, LA 71201 2020-04-30
1932749116 Emmanuel Brown Jr. Case Manager/Care Coordinator 2808 Evangeline Street, Monroe, LA 71201 2020-01-15
1063050961 James J Gregory Social Worker 4800 S Grand, Monroe, LA 71201 2019-12-11
1285271221 William Fairley Non-emergency Medical Transport (VAN) 1002 N. 7th St., Apt. 4, Monroe, LA 71201 2019-12-10
1619431715 Guidance Medical Transportation LLC Non-emergency Medical Transport (VAN) 1204 Stubbs Ave. Suite B, Monroe, LA 71201 2019-01-23
1184193286 Marnesha Davis Assistant Behavior Analyst 500 N. 21st Street, Monroe, LA 71201 2018-11-19
1912476482 Gbc Hope Residential Treatment Facility, Emotionally Disturbed Children 311 South 1st Street, Monroe, LA 71201 2018-11-14
1124502505 Orthopaedic Clinic of Monroe Non-Pharmacy Dispensing Site 1501 Louisville Ave., Monroe, LA 71201 2018-09-20
1699266643 Melissa Anne De La O Audiologist 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 2018-05-25
1588153738 Essential Family Medicine, LLC Nurse Practitioner 2014 Tower Dr. Ste A, Monroe, LA 71201 2018-05-03
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225643653 Auesome Achiever LLC Day Training, Developmentally Disabled Services 601 Alcovy St, Monroe, GA 30655-2145 2020-09-11
1346863180 Vitality Youth Services, LLC Day Training, Developmentally Disabled Services 726 12th Ave, Monroe, WI 53566-1435 2020-05-27
1659814697 Therapeutic Approaches, Inc Day Training, Developmentally Disabled Services 1310 Powell, Monroe, LA 71203 2016-11-23
1942591623 Billy Clay Foster Day Training, Developmentally Disabled Services 6206 Cypress Point Dr, Monroe, LA 71203-3208 2011-04-28
1295050870 Unity Home Care Day Training, Developmentally Disabled Services 5204 Desiard St, Monroe, LA 71203-4634 2010-04-07
1326282856 Another Chance Enterprise, Adult Services Day Training, Developmentally Disabled Services 3001 Armand St Ste D, Monroe, LA 71201-3761 2009-04-28
1700066461 Rayim of Hudson Valley Inc. Day Training, Developmentally Disabled Services 149 Elm St, Monroe, NY 10950-2805 2007-11-11
1629297676 Thomas Place Recovery Day Training, Developmentally Disabled Services 7207 Desiard St, Monroe, LA 71203-3914 2007-04-25
1154549517 Innovative Communicatorsinc. Day Training, Developmentally Disabled Services 1401 Hudson Ln Ste 227, Monroe, LA 71201-6038 2007-04-23
1629105895 Hearts Desire LLC Day Training, Developmentally Disabled Services 2900 Cameron St, Monroe, LA 71201-3714 2007-02-27
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Competitor

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City MONROE
Zip Code 71201

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Dataset Information

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.

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