Organization Active NPI

A Miraculous Touch, Incorporated

  • Custodial Care Facility
  • Fort Worth, TX
National Provider Identifier
1629264528
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
010544 Issued in TX
Legal business name
A MIRACULOUS TOUCH, INCORPORATED
Practice address
4701 Altamesa Blvd
Suite 2-C
Fort Worth, TX 76133-6115
Phone
(817) 230-4668
Fax
(817) 350-4381
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mrs. Sonya G. Richardson
Title
Administrator
Phone
(817) 230-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 010544 TX Primary

Addresses

Primary practice location

4701 Altamesa Blvd
Suite 2-C
Fort Worth, TX 76133-6115

Mailing address

4701 Altamesa Blvd
Suite 2-C
Fort Worth, TX 76133-6115
Phone (817) 230-4668

National Provider Directory

National Provider Directory

Locations

4701 Altamesa Blvd
Ste 2C
Fort Worth, TX 76133
Phone (817) 230-4668

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1629264528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 ALTAMESA BLVD",
            "address_2": "SUITE 2-C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336115",
            "telephone_number": "817-230-4668",
            "fax_number": "817-350-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 ALTAMESA BLVD",
            "address_2": "SUITE 2-C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336115",
            "telephone_number": "817-230-4668",
            "fax_number": "817-350-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MIRACULOUS TOUCH, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-230-4668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TX",
            "license": "010544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.