Miraacles in Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

360056DN Issued in CA

Legal business name

MIRAACLES IN RECOVERY

Practice address

2316 Valencia Ave
San Bernardino, CA 92404-4034

Phone

(909) 881-3555

NPI assigned

May 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly Ann Smith, M.ED COUNSELING

Title

Executive Director

Phone

(909) 881-3555

Specialties & licenses 1

Addresses

Other names 1

• Save The Babies Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vikki Lynn Rutledge

  • Mental Health Counselor
  • Auburn, WA
  • NPI 1427232248
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912118068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103522",
            "telephone_number": "909-381-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 VALENCIA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044034",
            "telephone_number": "909-881-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAACLES IN RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-881-3555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED COUNSELING"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360056DN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Save The Babies",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• German Minero
• Peter Minjares
• Quiana Minjarez
• Melissa Ann Minnick, LMFT
• Amber Marie Minniefield
• Miracle Adult Day Health Care, Inc.
• Jacqueline Miramontes
• Bryan Miranda-Garcia
• Jacqueline Marie Miranda
• Juan Jose Miranda, B.A.

• Substance Abuse Rehabilitation Facility in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• 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.