NPIMap

Organization Active NPI

Miracle Houses, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Gastonia, NC
National Provider Identifier
1144510850
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MIRACLE HOUSES, INC.
Practice address
2004 Twin Ave
Gastonia, NC 28052-1369
Phone
(704) 535-4447
Fax
(704) 535-4476
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Patsy Y. Camp
Title
Executive Director
Phone
(704) 535-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2004 Twin Ave
Gastonia, NC 28052-1369

Mailing address

7508 E Independence Blvd
Suite 119
Charlotte, NC 28227-9473
Phone (704) 535-4447

Other identifiers 1

IdentifierTypeStateIssuer
MHL036287MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Miracle Houses Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1144510850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 E INDEPENDENCE BLVD",
            "address_2": "SUITE 119",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279473",
            "telephone_number": "704-535-4447",
            "fax_number": "704-535-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 TWIN AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521369",
            "telephone_number": "704-535-4447",
            "fax_number": "704-535-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOUSES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-535-4447"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MHL036287",
            "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 May 15, 2019; 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.