Michael'S Angels House of Resilience, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MICHAEL'S ANGELS HOUSE OF RESILIENCE, INC

Practice address

2109 Saint Andrew St Ste 11
Tarboro, NC 27886-2146

Phone

(919) 437-7234

Fax

(252) 563-5736

NPI assigned

Nov 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shanell Knight

Title

Ceo/Director

Phone

(919) 437-7234

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1013732379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1454",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861454",
            "telephone_number": "919-437-7234",
            "fax_number": "252-563-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 SAINT ANDREW ST STE 11",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862146",
            "telephone_number": "919-437-7234",
            "fax_number": "252-563-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL'S ANGELS HOUSE OF RESILIENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "919-437-7234",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Walter McDaniel, DMD, MPH
• Kendra Holley McGhee, MSW, LCSWA
• Sarah Hunter McLellan, PA
• Angela B Mebane, MD
• Sarah Meerholz
• Charles Middleton, M.D.
• David Charles Miller, M.D.
• Jonathan Matthew Miller, D.D.S.
• Debra Ann Milliner, APRN
• Miracles Supportive Services

• Community/Behavioral Health Agency in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.