MIRACLE HOUSES, INC. (NPI# 1861090706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861090706 |
| Entity Type | Organization |
| Organization Name | MIRACLE HOUSES, INC. |
| Practice Address |
320 Winchester Rd Troutman NC 28166-9644 |
| Mailing Address |
4410 E Independence Blvd Charlotte NC 28205-7404 |
| Practice Telephone | 7045354441 |
| Mailing Telephone | 7045354447 |
| Mailing Fax Number | 7045354476 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | PATSY Y. CAMP (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045354447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Miracle Houses Winchester 1 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1285172460 | Miracle Houses, Inc. | Community/Behavioral Health | 3316 Waxhaw Indian Trail Rd, Indian Trail, NC 28079-4233 | 2017-02-07 |
| 1336593698 | Miracle Houses, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2627 Providence Rd, Charlotte, NC 28211-2238 | 2016-04-22 |
| 1144510850 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2004 Twin Ave, Gastonia, NC 28052-1369 | 2011-04-14 |
| 1457522930 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5212 Swearngan Rd, Charlotte, NC 28216-2932 | 2008-03-12 |
| 1912316910 | Miracle Houses, Inc. | Community/Behavioral Health | 1750 Highway 160 W, Suite 101-319, Fort Mill, SC 29708-8009 | 2014-08-05 |
| 1831423672 | Miracle Houses, Inc. | Community/Behavioral Health | 5500 Executive Center Dr, Ste. 201, Charlotte, NC 28212-8856 | 2009-09-28 |
| Street Address |
320 WINCHESTER RD |
| City | TROUTMAN |
| State | NC |
| Zip Code | 28166-9644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700167350 | Realistic Change By C.h.o.i.c.e. @ Winchester II | Community Based Residential Treatment Facility, Mental Illness | 320 Winchester Rd, Troutman, NC 28166-9644 | 2011-09-08 |
| 1013518323 | Miracle Houses Inc | Community Based Residential Treatment Facility, Mental Illness | 320 Winchester Rd, Troutman, NC 28166-9644 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156063 | Ebony N Wilson | Social Worker | 183 Iredell Ave, Troutman, NC 28166 | 2019-10-22 |
| 1588213573 | Kendall Troutman | Speech-Language Pathologist | 130 Oswalt Amity Rd, Troutman, NC 28166 | 2019-09-11 |
| 1487089561 | Stuart Elliott Tolman | Pharmacist | 408 Stillwater Lane, Troutman, NC 28166 | 2013-09-09 |
| 1558390476 | Troutman 1st Rx Pharmacy | Pharmacy | 106 Wagner Street, Troutman, NC 28166 | 2006-07-02 |
| 1114917309 | Lake Norman Medical Equipment | Durable Medical Equipment & Medical Supplies | 693 N Main St, Troutman, NC 28166 | 2005-10-27 |
| 1518457886 | Lauren Brannon | Registered Nurse | 154 S Main St, Troutman, NC 28166 | 2018-05-12 |
| 1568972123 | Denton Mow | Physician Assistant | 154 S Main St, Troutman, NC 28166 | 2017-10-09 |
| 1184659682 | Angelita C. Le Cras, Dds, Pa | Dentist | 204 South Main Street, Troutman, NC 28166 | 2006-07-12 |
| 1851326359 | Angelita Cleofe Lecras | Dentist | 204 South Main Street, Troutman, NC 28166 | 2006-07-12 |
| 1760955314 | Piedmont Healthcare, Pa | Family Medicine | 154 S Main St, Troutman, NC 28166-0200 | 2019-01-07 |
| Find all providers in zip 28166 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912394818 | Shane Sarley | Community/Behavioral Health | 107 Deer Cove Ln, Troutman, NC 28166-8812 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| 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.