Miracle Kids Success Academy
LBN: Miracle Kids Success Academy
Miracle Kids Success Academy is an health care organization with primary practice located at 1900 Stillwater Dr , Jonesboro AR 72404-9119. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty.
Miracle Kids Success Academy can be contacted via phone (870) 932-2600, or through Decker, Shelly via phone (870) 932-2600.
Contact Information
Primary practice address
1900 Stillwater Dr
Jonesboro AR 72404-9119
Phone: (870) 932-2600
Fax: (870) 932-3611
Website:
Health care specialties
Profile Details
| NPI number | 1184945701 |
|---|---|
| LBN Legal business name | Miracle Kids Success Academy |
| DBA Doing business as | |
| Authorized official | Decker, Shelly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2010 |
| Last updated | Nov 30th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184945701 | NPPES |
| Arkansas | MEDICAID | 181713742 |
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