MIRACLE RESTORATION


Address: 4850 Old Savannah Church Rd, Fayetteville, NC 28312-9183
Phone: 9104831376

MIRACLE RESTORATION (NPI# 1750517496) 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) 1750517496
Entity Type Organization
Organization Name MIRACLE RESTORATION
Other Organization Name MIRACLE RESTORATION
Practice Address 4850 Old Savannah Church Rd
Fayetteville
NC 28312-9183
Practice Telephone 9104831376
Practice Fax Number 9104832653
Mailing Telephone 9104831376
Mailing Fax Number 9104832653
Enumeration Date 2009-06-09
Last Update Date 2009-06-09
Authorized Official Name VICTORIA DIANE WHITE (OWNER)
Authorized Official Telephone 9104931376
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
miracle restoration Doing Business As Name - Organization

Office Location

Street Address 4850 OLD SAVANNAH CHURCH RD
City FAYETTEVILLE
State NC
Zip Code 28312-9183

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710384615 Open Door Family Care Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4850 Old Savannah Church Rd, Fayetteville, NC 28301 2014-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376185207 Christine U Jones Technician 3801 Stedman Cedar Creek Rd, Fayetteville, NC 28312 2019-10-11
1497305890 Stephanie Deshawn Cain Technician 1250 Colts Pride Dr, Fayetteville, NC 28312 2019-09-17
1477057545 Accurate Sleep Diagnostic Center LLC Clinic/Center 4220 Locks Creek Church Road, Fayetteville, NC 28312 2018-03-22
1245739457 Heather S Callihan Home Health 415 Old Vander Rd, Fayetteville, NC 28312 2018-02-03
1497088371 Rainbow Pediatrics of Eastover Pediatrics 3361 Dunn Rd, Eastover, NC 28312 2009-09-10
1093947798 Nuvision Home Care, Inc. Home Health 1549 River Road, Fayetteville, NC 28312 2009-08-13
1992724157 Jactom Inc Skilled Nursing Facility 3532 Dunn Road, Fayetteville, NC 28312 2006-07-19
1134580442 Elizabeth Boyle Kleinfelder Nurse Practitioner 3551 Dunn Rd, Eastover, NC 28312 2016-03-14
1629458369 Mato Brown Social Worker 511 Middle Rd, Fayetteville, NC 28312 2015-06-08
1225109911 William I Cross Emergency Medicine 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 2006-11-13
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306383450 Family First Operating, LLC Assisted Living Facility 113 Medical Center Blvd, Fayetteville, TN 37334-2685 2017-01-27
1235494246 Phenix Enterprise Services, LLC Assisted Living Facility 180 Championship Ct, Fayetteville, GA 30215-8017 2012-07-06
1619274644 Southern Manor Living Centers, LLC Assisted Living Facility 115 Medical Center Blvd, Fayetteville, TN 37334-2689 2011-02-28
1871723791 Carillon Assisted Living of Fayetteville, LLC Assisted Living Facility 1164 71st School Rd, Fayetteville, NC 28314-2817 2009-07-27
1770737504 Lauren & Londen, Inc. Assisted Living Facility 610 Mann St, Fayetteville, NC 28301-6240 2008-11-06
1003079872 Valley Pines Adult Care Assisted Living Facility 2521 Muriel Dr, Fayetteville, NC 28306-3213 2008-07-02
1740466937 Magnolia Lane LLC Assisted Living Facility 3510 Camden Rd, Fayetteville, NC 28306-7717 2008-01-17
1528189917 Cedar Creek Assisted Living, LLC Assisted Living Facility 1124 Cedar Creek Rd, Fayetteville, NC 28312-6544 2007-04-03
1346370459 Peterkin & Associates, Inc. Assisted Living Facility 7559 Decatur Dr, Fayetteville, NC 28303-1989 2007-03-07
1841320330 Hope Rest Home, Inc. Assisted Living Facility 2967 Dunn Rd, Fayetteville, NC 28312-8883 2007-03-06
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28312

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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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