Miracles Of A Second Chance Inc

LBN: Miracles Of A Second Chance Inc
Miracles Of A Second Chance Inc is an health care organization with primary practice located at 507 19Th Ter , Bisbee AZ 85603-1705. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Behavior Technician, Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Adult Medicine, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Miracles Of A Second Chance Inc can be contacted via phone (520) 255-2158, or through Saavedra, Angela via phone (520) 255-2158.

Contact Information

Primary practice address
507 19Th Ter Bisbee AZ 85603-1705
Phone: (520) 255-2158
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Saavedra, Angela Registered Nurse (RN)
Phone: (520) 255-2158

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Nursing Service Providers / Registered Nurse 163W00000X
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1710740097
LBN Legal business name Miracles Of A Second Chance Inc
DBA Doing business as Miracles Of A Second Chance Inc
Authorized official Saavedra, Angela Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2024
Last updated Feb 16th, 2024 - about 10 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710740097 NPPES
Arizona MEDICAID 1962572008
Arizona MEDICAID 1518503945

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