Miracle Health Care Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIRACLE HEALTH CARE SERVICES

Practice address

396 Piedmont Ave NE
Unit 4013
Atlanta, GA 30308-3400

Phone

(678) 705-8075

NPI assigned

Aug 20, 2010

Organization subpart

Yes

Parent organization

MIRACLE HOUSES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Xavier Young, B.S.

Title

Owner/ Executive Director

Phone

(704) 315-3895

Specialties & licenses 1

Addresses

Part of

Miracle Houses Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Miracle Houses, Incorporated

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1154675403
  NPPES parent name

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1114233715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 PIEDMONT AVE NE",
            "address_2": "UNIT 4013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083400",
            "telephone_number": "678-705-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 PIEDMONT AVE NE",
            "address_2": "UNIT 4013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083400",
            "telephone_number": "678-705-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HEALTH CARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRACLE HOUSES, INC.",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "OWNER/ EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-315-3895",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurie Lynn Mintz, M.D.
• Shemar Lemont Mintze
• Gabriele Miotto, M.D.
• Mir Solutions Inc
• Miracle Caregivers for Needy Children Inc.
• Miracle Houses, Incorporated
• Miraculous Health & Rehabilitation
• Roque Miramontes, PA, MPH
• Alexa N Miranda
• Titania W Miranda, MD

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.