House of Miracles, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HOUSE OF MIRACLES, INC.

Practice address

1951 W Camelback Rd # 255
Phoenix, AZ 85015-3403

Phone

(623) 203-7381

NPI assigned

May 26, 2023

Last updated

May 26, 2023By 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

Mr. Xavier L Jenkins, LASACNPI 1114531514

Title

Ceo

Phone

(602) 488-8880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Xavier Lewis Jenkins, COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1114531514
  Authorized official Same address or phone

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1184317141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 W INDIAN SCHOOL RD # 19-245",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375721",
            "telephone_number": "623-203-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W CAMELBACK RD # 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153403",
            "telephone_number": "623-203-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF MIRACLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-488-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LASAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandra J House, LPC
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• Case Management Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Case Management Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.