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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 10403 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1017639 | 05 |
| 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 |
| Street Address |
2404 FERRAND ST. SUITE 21 |
| City | MONROE |
| State | LA |
| Zip Code | 71201-4954 |
| 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 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| 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. |
| 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 |
| Find all providers in MONROE | ||||
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| 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.