MIRACLE CAREGIVERS FOR NEEDY CHILDREN INC. (NPI# 1780752071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780752071 |
| Entity Type | Organization |
| Organization Name | MIRACLE CAREGIVERS FOR NEEDY CHILDREN INC. |
| Practice Address |
366 Willis Mill Rd Sw Atlanta GA 30311-1730 |
| Practice Telephone | 4046964220 |
| Practice Fax Number | 4046992676 |
| Mailing Telephone | 4046964220 |
| Mailing Fax Number | 4046992676 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CLORISSAL RENEL ALCANTARA (CEO) |
| Authorized Official Telephone | 4046964220 |
| Authorized Official Credential | N.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | FR-17061 | GA | Residential Treatment Facilities |
| Street Address |
366 WILLIS MILL RD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30311-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
| 1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
| 1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
| 1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
| 1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
| 1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
| 1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
| Find all providers in zip 30311 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619403805 | Quencie's Manor LLC | Residential Treatment Facility, Physical Disabilities | 2104 Jeffersonville Rd, Macon, GA 31217-4517 | 2017-05-07 |
| 1114452620 | Training On The Move | Residential Treatment Facility, Physical Disabilities | 619 Hampton St, Hinesville, GA 31313-3535 | 2017-04-23 |
| 1780122010 | Pugh's Personal Care Home | Residential Treatment Facility, Physical Disabilities | 5834 St Matthews St John Church Rd, Donalsonville, GA 39845-3550 | 2017-02-07 |
| 1730621756 | Innovative Solutions Personal Care Home | Residential Treatment Facility, Physical Disabilities | 569 Phyllis Cir, Camilla, GA 31730-6438 | 2016-11-08 |
| 1285029884 | Hhsrc Neuromuscular | Residential Treatment Facility, Physical Disabilities | 5474 Oakley Industrial Blvd, Apt. 1032, Fairburn, GA 30213-4455 | 2015-03-31 |
| 1255723813 | Cotter Personal Care Home LLC | Residential Treatment Facility, Physical Disabilities | 5146 Cotter Dr, Union City, GA 30291-1812 | 2015-02-19 |
| 1770996001 | Reaves Home Care Services | Residential Treatment Facility, Physical Disabilities | 2502 Trees of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8220 | 2014-06-04 |
| 1225453079 | Delroy Thomas | Residential Treatment Facility, Physical Disabilities | 8099 Revere Dr, Mcdonough, GA 30252-8924 | 2014-03-03 |
| 1134564131 | Panola Care, Cla | Residential Treatment Facility, Physical Disabilities | 3169 Pequea Dr, Lithonia, GA 30038-1119 | 2013-05-03 |
| 1235490095 | Apfa | Residential Treatment Facility, Physical Disabilities | 4776 Ben Hill Rd, Douglasville, GA 30134-4213 | 2012-06-07 |
| Find all providers with the same taxonomy | ||||
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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.