Organization Active NPI

Miracle House, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Ventura, CA
National Provider Identifier
1295909877
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
072703 1 Issued in CA
Legal business name
MIRACLE HOUSE, INC
Practice address
1997 E Main St
Ventura, CA 93001-3406
Phone
(805) 648-7857
Fax
(805) 648-7540
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Mr. Norman Frank Patton
Title
Executive Director
Phone
(805) 648-7857

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 072703 1 CA Primary
Substance Abuse Rehabilitation Facility 324500000X 560007AN CA
Substance Abuse Rehabilitation Facility 324500000X 56000CN CA

Addresses

Primary practice location

1997 E Main St
Ventura, CA 93001-3406

Mailing address

1997 E Main St
Ventura, CA 93001-3406
Phone (805) 648-7857

Other names 1

  • Miracle Recovery Centers Doing business as

National Provider Directory

National Provider Directory

Locations

1997 E Main St
Ventura, CA 93001
Phone (805) 216-2041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1295909877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013406",
            "telephone_number": "805-648-7857",
            "fax_number": "805-648-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013406",
            "telephone_number": "805-648-7857",
            "fax_number": "805-648-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-648-7857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "072703 1",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "560007AN",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "56000CN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.