NPIMap

Organization Active NPI

Miracle Houses, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1457836736
Registry record updated Oct 2, 2018
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
7827 Kerry Brook Circle
Charlotte, NC 28214
Phone
(704) 535-4447
Fax
(704) 535-4476
NPI assigned
Oct 2, 2018
Organization subpart
Yes
Parent organization
MIRACLE HOUSES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Mr. William Colenn Camp Jr.
Title
President & Ceo
Phone
(704) 535-4447

Specialties & licenses 1

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

Addresses

Primary practice location

7827 Kerry Brook Circle
Charlotte, NC 28214

Mailing address

7508 E. Independence Blvd.
Ste. 110
Charlotte, NC 28227-9409
Phone (704) 535-4447

National Provider Directory

National Provider Directory
Tax ID family
Miracle Houses Inc19 organizations share this tax ID, including this one
Part of
Miracle Houses Inc

Other organizations with this tax ID 18

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

View all 18

Locations

7508 E Independence Blvd
Ste 110
Charlotte, NC 28227

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1457836736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 E. INDEPENDENCE BLVD.",
            "address_2": "STE. 110",
            "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": "7827 KERRY BROOK CIRCLE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28214",
            "telephone_number": "704-535-4447",
            "fax_number": "704-535-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HOUSES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRACLE HOUSES, INC.",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "COLENN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "704-535-4447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "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 Oct 2, 2018; 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.