Organization Active NPI

Miracles Recovery Center, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1356819650
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MIRACLES RECOVERY CENTER, LLC.
Practice address
584 NW University Blvd
Port St Lucie, FL 34986-2268
Phone
(772) 249-4988
Fax
(772) 353-4047
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Jeffrey BlossomNPI 1427192293
Title
Owner/Ceo
Phone
(772) 766-0215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

584 NW University Blvd
Port St Lucie, FL 34986-2268

Mailing address

584 NW University Blvd
Port St Lucie, FL 34986-2268
Phone (772) 249-4988

Other names 1

  • Miracles Recovery Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2314650Miracles Recovery Center LLC584 NW University Blvd Ste 400, Port Saint Lucie, FL 34986Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory

Locations

584 NW University Blvd
Port St Lucie, FL 34986
Phone (772) 218-2398

Practitioners & affiliated clinicians

Practitioners 2

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": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1356819650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 NW UNIVERSITY BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862268",
            "telephone_number": "772-249-4988",
            "fax_number": "772-353-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 NW UNIVERSITY BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862268",
            "telephone_number": "772-249-4988",
            "fax_number": "772-353-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES RECOVERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "BLOSSOM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "772-766-0215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracles Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.