Organization Active NPI

Miracle Caregivers for Needy Children Inc.

  • Physical Disabilities Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1780752071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
FR-17061 Issued in GA
Legal business name
MIRACLE CAREGIVERS FOR NEEDY CHILDREN INC.
Practice address
366 Willis Mill Rd SW
Atlanta, GA 30311-1730
Phone
(404) 696-4220
Fax
(404) 699-2676
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Clorissal Renel Alcantara, N.A
Title
Ceo
Phone
(404) 696-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X FR-17061 GA Primary

Addresses

Primary practice location

366 Willis Mill Rd SW
Atlanta, GA 30311-1730

Mailing address

366 Willis Mill Rd SW
Atlanta, GA 30311-1730
Phone (404) 696-4220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780752071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 WILLIS MILL RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111730",
            "telephone_number": "404-696-4220",
            "fax_number": "404-699-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 WILLIS MILL RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111730",
            "telephone_number": "404-696-4220",
            "fax_number": "404-699-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE CAREGIVERS FOR NEEDY CHILDREN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "CLORISSAL",
        "authorized_official_middle_name": "RENEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-696-4220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "FR-17061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.