Everlasting Miracles Healthcare

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVERLASTING MIRACLES HEALTHCARE

Practice address

919 Mantua Blvd
Sewell, NJ 08080-1354

Phone

(856) 308-8805

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Robert W Anders

Title

Owner

Phone

(856) 308-8805

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1972220341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MANTUA BLVD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801354",
            "telephone_number": "856-308-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MANTUA BLVD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801354",
            "telephone_number": "856-308-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING MIRACLES HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-308-8805"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8563088805",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "everlastingmiracleshealthcare@gmail.com",
            "affiliation": "N",
            "address_1": "919 Mantua Blvd",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080801354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Empowered Minds Wellness Center
• Nicole Engle-Groover
• Shannon Erlich, NP
• Ali R Eslami, DDS
• Erica B Evans, PA
• Eye Physicians PC
• Agnes Fagan, APN
• Mary Faralli, CCC-SLP
• Ruth Farina, RDA
• Sara Elizabeth Farrell, M.S., CCC-SLP

• Community/Behavioral Health Agency in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.