Organization Active NPI

Miracle Hands LLC

  • Developmentally Disabled Services Day Training Agency
  • Portsmouth, VA
National Provider Identifier
1386577781
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MIRACLE HANDS LLC
Practice address
4204 Deep Creek Blvd
Portsmouth, VA 23702-1620
Phone
(757) 582-1502
NPI assigned
Jun 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Takedra M Griffin
Title
Owner
Phone
(757) 582-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4204 Deep Creek Blvd
Portsmouth, VA 23702-1620

Mailing address

4204 Deep Creek Blvd
Portsmouth, VA 23702-1620
Phone (757) 582-1502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1386577781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 DEEP CREEK BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237021620",
            "telephone_number": "757-582-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 DEEP CREEK BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237021620",
            "telephone_number": "757-582-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TAKEDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-582-1502"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.