Organization Active NPI

Miracles Eden, Inc.

  • Multi-Specialty Clinic/Center
  • Largo, MD
National Provider Identifier
1801688528
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MIRACLES EDEN, INC.
Practice address
9500 Arena Dr
Suite 440E
Largo, MD 20774
Phone
(240) 486-9155
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Ogochukwu Eklwueme
Title
Owner
Phone
(240) 486-9155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9500 Arena Dr
Suite 440E
Largo, MD 20774

Mailing address

9500 Arena Dr
Suite 440E
Largo, MD 20774
Phone (240) 486-9155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1801688528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ARENA DR",
            "address_2": "SUITE 440E",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "240-486-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ARENA DR",
            "address_2": "SUITE 440E",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "240-486-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES EDEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "EKLWUEME",
        "authorized_official_first_name": "OGOCHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-486-9155"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.