Miracle on 29TH Street
Organization Active NPI Case Manager/Care Coordinator · Phoenix, AZ
NPI 1255835997 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1255835997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- AL10509H (AZ)
- Legal business name
- MIRACLE ON 29TH STREET
- Practice address
- 18210 N 29TH St
Phoenix, AZ 85032-1103 - Phone
- (480) 302-1101
- NPI assigned
- Mar 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Troy Berkley
- Title
- Owner
- Phone
- (480) 302-1101
Practitioners 1
-
Troy Berkley, HOME HEALTH AID
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | AL10509H | AZ | Yes |
Addresses
Primary practice location
18210 N 29TH St
Phoenix, AZ 85032-1103
Mailing address
18210 N 29TH St
Phoenix, AZ 85032-1103
Phone (480) 302-1101
Other names
- Koala-D Meds
Other providers in Phoenix, AZ
- Brandon M Minzer
- Faryal Faisal Mir
- Jennifer Thomas Mirabelli
- Robert Mark Mirabelli
- Miracle Consulting
- Miracle Wellness Center LLC
- Mirage Hospice Care Inc
- Mirage Medical LLC
- Mirage Podiatry Foot and Ankle Specialists
- Gregory Miraglia
All providers in Phoenix, AZ · Case Manager/Care Coordinator in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.