Mini Miracles Pediatric Day Health Center, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MINI MIRACLES PEDIATRIC DAY HEALTH CENTER, LLC

Practice address

120 Eagle Point Dr
Farmerville, LA 71241

Phone

(318) 368-8681

NPI assigned

Jun 13, 2014

Last updated

Feb 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haley Auger

Title

Administrator

Phone

(318) 368-8996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1063826436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAGLE POINT DR",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "71241",
            "telephone_number": "318-368-8996",
            "fax_number": "318-368-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAGLE POINT DR",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "71241",
            "telephone_number": "318-368-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI MIRACLES PEDIATRIC DAY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "AUGER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-368-8996"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonee McKeel
• John O. McKeel Jr.
• Mary L McMahon, LPC
• Peyton McMillon Anderson, PHARMD
• Miller Pharmacy Services LLC (Farmerville Drug)
• Kasheena Moody, CSW MHP
• Heather Brooke Moore, SLP
• Morehouse Community Medical Centers, Inc (CommuniHealth Services Union Parish High School Based Health Center)
• Nicole Morgan
• Latessa Morris

• Health Maintenance Organization in Farmerville, LA
• Providers in Farmerville, LA by specialty
• Health Maintenance Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.