NPIMap

Organization Active NPI

Miracle Houses, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1457522930
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MIRACLE HOUSES, INC.
Practice address
5212 Swearngan Rd
Charlotte, NC 28216-2932
Phone
(704) 394-7838
Fax
(704) 535-4476
NPI assigned
Mar 12, 2008
Last updated
May 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Mrs. Patsy Y Camp, BANPI 1649310400
Title
Executive Director
Phone
(704) 535-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

5212 Swearngan Rd
Charlotte, NC 28216-2932

Mailing address

7508 E Independence Blvd Ste 119
Charlotte, NC 28227-9409
Phone (704) 535-4447

Other practice location 1

251 Valleybrook Ln
Troutman, NC 28166
Phone (704) 535-4447

National Provider Directory

National Provider Directory
Tax ID family
Miracle Houses Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1457522930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 E INDEPENDENCE BLVD STE 119",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279409",
            "telephone_number": "704-535-4447",
            "fax_number": "704-535-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 SWEARNGAN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162932",
            "telephone_number": "704-394-7838",
            "fax_number": "704-535-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Valleybrook Ln",
            "address_purpose": "LOCATION",
            "city": "Troutman",
            "state": "NC",
            "postal_code": "28166",
            "country_code": "US",
            "telephone_number": "704-535-4447",
            "fax_number": "704-535-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRACLE HOUSES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-535-4447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.