DESTINY & MIRACLE LLC (NPI# 1801409859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801409859 |
| Entity Type | Organization |
| Organization Name | DESTINY & MIRACLE LLC |
| Practice Address |
1024 Houston St Gastonia NC 28052-1632 |
| Mailing Address |
5765 Cedars East Ct Apt 2 Charlotte NC 28212-0171 |
| Practice Telephone | 6785457340 |
| Mailing Telephone | 6785457340 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | ANTOINETTE STEELE (DIRECTOR) |
| Authorized Official Telephone | 6785457340 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
1024 HOUSTON ST |
| City | GASTONIA |
| State | NC |
| Zip Code | 28052-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
| 1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
| 1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
| 1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
| 1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
| 1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
| 1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
| 1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
| Find all providers in zip 28052 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1306381801 | A Better Concept | Community Based Residential Treatment Facility, Mental Illness | 3019 Fallswood Dr, Gastonia, NC 28052-6054 | 2016-12-20 |
| 1861943474 | Rockhouse Mental Health Care Agency LLC | Community Based Residential Treatment Facility, Mental Illness | 1518 Belmar Dr, Gastonia, NC 28052-5103 | 2016-10-18 |
| 1326474008 | Melange Health Solutions, LLC | Community Based Residential Treatment Facility, Mental Illness | 1818 West Fifth Avenue, Gastonia, NC 28054 | 2013-09-25 |
| 1285983528 | Alternative Community Penalties Program, Inc. | Community Based Residential Treatment Facility, Mental Illness | 400 East Fifth Avenue, Gastonia, NC 28054 | 2012-08-31 |
| 1144510850 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2004 Twin Ave, Gastonia, NC 28052-1369 | 2011-04-14 |
| 1164658597 | Innovative Compliance Solutions | Community Based Residential Treatment Facility, Mental Illness | 4912 Duncan Ln, Gastonia, NC 28056-9361 | 2009-05-29 |
| 1417149311 | Bridgebuilders Family & Youth Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 1219 Cambridge Ave, Gastonia, NC 28054-1528 | 2007-08-14 |
| 1093838237 | Footprints Carolina Inc | Community Based Residential Treatment Facility, Mental Illness | 970 Roberts Dr, Gastonia, NC 28054-5804 | 2007-04-10 |
| 1336282862 | Assured Resource Environment | Community Based Residential Treatment Facility, Mental Illness | 1816 Middle St, Gastonia, NC 28052-7626 | 2007-02-15 |
| Find all providers in GASTONIA | ||||
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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.