Active NPI
Miracle Caregivers for Needy Children Inc.
- Physical Disabilities Residential Treatment Facility
- Atlanta, GA
National Provider Identifier
1780752071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- FR-17061
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.