Miracle Houses Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

MIRACLE HOUSES INC

Practice address

7827 Kerrybrook Cir
Charlotte, NC 28214-2513

Phone

(704) 535-4447

Fax

(704) 535-4476

NPI assigned

Sep 27, 2018

Organization subpart

Yes

Parent organization

MIRACLE HOUSESAs reported in NPPES

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

Authorized official

Name

Patsy Young CampNPI 1649310400

Title

Executive Director

Phone

(704) 535-4447

Specialties & licenses 1

Addresses

Other names 2

• Miracle Houses of Valley Brook Doing business as
• Miracler Houses of Kerry Brook Doing business as

Part of

Miracle Houses Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patsy Y. Camp

  • Mental Illness Community Based Residential Treatment Facility
  • Charlotte, NC
  • NPI 1649310400
  NPD Authorized official

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1679058440",
    "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": "7827 KERRYBROOK CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142513",
            "telephone_number": "704-535-4447",
            "fax_number": "704-535-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Valleybrook Ln",
            "address_purpose": "LOCATION",
            "city": "Troutman",
            "state": "NC",
            "postal_code": "281669645",
            "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": "YES",
        "parent_organization_legal_business_name": "MIRACLE HOUSES",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-535-4447"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Houses of Valley Brook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracler Houses of Kerry Brook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miracle Hands LLC
• Miracle Health Care Services LLC
• Miracle Home Care Services LLC
• Miracle Home Care Services LLC
• Miracle Houses Inc
• Miracle Houses Inc
• Miracle Houses Inc.
• Miracle Houses Inc.
• Miracle Houses, Inc.
• Miracle Houses, Inc.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.