Miracle Recovery Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

370124AP Issued in CA

Legal business name

MIRACLE RECOVERY CENTER, LLC

Doing business as

Miracle by the Bay

Practice address

3342 Venado St
Carlsbad, CA 92009-7849

Phone

(866) 538-8153

Fax

(760) 814-8161

NPI assigned

Nov 14, 2009

Last updated

Nov 14, 2009By 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

Mrs. Ali Jones

Title

Director/Co-Founder

Phone

(760) 450-4604

Specialties & licenses 1

Addresses

Other names 1

• Miracle by the Bay Doing business as

Locations

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258156800000",
    "number": "1427385277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7668 EL CAMINO REAL",
            "address_2": "#104-704",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097932",
            "telephone_number": "866-538-8153",
            "fax_number": "760-814-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 VENADO ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097849",
            "telephone_number": "866-538-8153",
            "fax_number": "760-814-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR/CO-FOUNDER",
        "authorized_official_telephone_number": "760-450-4604",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370124AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle by the Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Milroy, MA, CCC-SLP
• Sara Milton, LPN
• Lara Silva Minaya
• Beverly Minor, M.A.
• Miracle Ear
• Janet Guadalupe Miranda-Hernandez
• Rakshya Mishra
• Mission Treatment Centers, Inc
• Carmieona T Mitchell
• Gerald Miyamoto, DDS

• Substance Abuse Rehabilitation Facility in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; 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.