NPIMap

Organization Active NPI

TT&T Services Inc

Doing business as Miracle Haven

  • Community/Behavioral Health Agency
  • Raeford, NC
National Provider Identifier
1447350293
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TT&T SERVICES INC
Doing business as
Miracle Haven
Practice address
126 N Main St
Raeford, NC 28376-2804
Phone
(910) 904-1189
Fax
(910) 875-3073
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Miss Euniceteen Diggs
Title
Owner
Phone
(910) 904-1189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2510000X NC
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

126 N Main St
Raeford, NC 28376-2804

Mailing address

126 N Main St
P. O. Box 1685
Raeford, NC 28376-2804
Phone (910) 904-1189

Other identifiers 11

IdentifierTypeStateIssuer
8301569JMedicaidNC
6601279MedicaidNC
8301569MedicaidNC
3408466MedicaidNC
6603597MedicaidNC
5906475MedicaidNC
8301569BMedicaidNC
6006042MedicaidNC
8301569GMedicaidNC
3302300MedicaidNC
3408368MedicaidNC

Other names 1

  • MIRACLE HAVEN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TTT Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4719 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 739-0050

126 N Main St
Raeford, NC 28376
Phone (910) 583-8116

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1447350293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "address_2": "P. O. BOX 1685",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762804",
            "telephone_number": "910-904-1189",
            "fax_number": "910-875-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762804",
            "telephone_number": "910-904-1189",
            "fax_number": "910-875-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TT&T SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "DIGGS",
        "authorized_official_first_name": "EUNICETEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-904-1189",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "2510000X",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301569J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601279",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301569",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408466",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603597",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906475",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301569B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006042",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301569G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3302300",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408368",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE HAVEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.