Active NPI
Total Miracle Kids,Inc.
- Community/Behavioral Health Agency
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TOTAL MIRACLE KIDS,INC.
- Practice address
- 212 W 2ND Ave Ste a
Gastonia, NC 28052-4055 - Phone
- (704) 854-8399
- Fax
- (704) 854-8410
- NPI assigned
- Sep 4, 2007
- Last updated
- Sep 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tiffany Kendall
- Title
- Director
- Phone
- (704) 854-8399
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
212 W 2ND Ave Ste a
Gastonia, NC 28052-4055
Mailing address
208 Kaitlyn LN
Kings Mountain, NC 28086-3951
Phone (704) 854-4942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300955B | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Total Miracle Kidsinc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Gastonia, NC
- NPI 1245533777
-
- Non-emergency Medical Transport (VAN)
- Gastonia, NC
- NPI 1841579760
Locations
212 W 2nd Ave
Ste A
Gastonia, NC 28052
Phone (704) 813-0462
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Gastonia, NC
- NPI 1073672077
-
- Professional Counselor
- Gastonia, NC
- NPI 1962558254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188864000000",
"number": "1053505941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 KAITLYN LN",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863951",
"telephone_number": "704-854-4942",
"fax_number": "704-854-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W 2ND AVE STE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524055",
"telephone_number": "704-854-8399",
"fax_number": "704-854-8410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL MIRACLE KIDS,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A",
"authorized_official_last_name": "KENDALL",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "704-854-8399",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300955B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.