Miracle Health Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

7675194 Issued in NC

Legal business name

MIRACLE HEALTH SERVICES, LLC

Practice address

800 Shipyard Blvd
Suite 3
Wilmington, NC 28412-6442

Phone

(910) 538-1096

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 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. Yushonda Midgette, BA

Title

Owners

Phone

(910) 538-1096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1457588238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SHIPYARD BLVD",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126442",
            "telephone_number": "910-538-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SHIPYARD BLVD",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126442",
            "telephone_number": "910-538-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "MIDGETTE",
        "authorized_official_first_name": "YUSHONDA",
        "authorized_official_title_or_position": "OWNERS",
        "authorized_official_telephone_number": "910-538-1096",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "7675194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Renee Minor, MD
• Stanley Gill Minor, MD
• Kristin A Minott, PTA
• Amanda Mintz, PHARMD
• Edith Mintz, PA
• Negin Misaghian-Xanthos, M.D.
• Zach Harmon Mishoe, MS, LAT, ATC
• Taylor A. Miskech, PT, DPT
• Mission Medstaff, LLC (Angels of Care)
• Julie A Mistovich, PTA

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.