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MIRACLE ON 29TH STREET
NPI 1255835997
Case Manager/Care Coordinator in Phoenix, AZ

Active since March 19, 2018
18210 N 29TH ST, PHOENIX, AZ 85032(480) 302-1101 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Jun 12, 2019, Apr 16, 2019 and 2 more (5 updates tracked since 2018).

About Miracle On 29th Street NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE ON 29TH STREET (NPI 1255835997), doing business as Koala-d Meds, is a healthcare organization registered as a case manager/care coordinator in Phoenix, Arizona and active in the NPI registry since March 2018. The organization lists Troy Berkley, Owner, as its authorized official.

NPPES Registry Identity

NPI1255835997
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameMIRACLE ON 29TH STREET
Location Address18210 N 29TH STPhoenix, AZ 85032-1103
Mailing Address18210 N 29th StPhoenix, AZ 85032-1103 · (480) 302-1101
Phone(480) 302-1101
Organization SubpartNo
Authorized OfficialTroy BerkleyOwner · (480) 302-1101
Enumeration DateMarch 19, 2018
Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration
✔ NPI 1255835997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in AZ · AL10509H
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
18210 N 29TH ST, Phoenix, AZ 85032
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Other Names 1

Doing Business AsKoala-d Meds

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TROY BERKLEY HOME HEALTH AID
Case Manager/Care Coordinator
18210 N 29TH ST
PHOENIX, AZ 85032
Maricopa County (480) 302-1101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle On 29th Street's NPI number?

The NPI number for Miracle On 29th Street is 1255835997. It was assigned to this organization in the NPPES registry on March 19, 2018. The provider is doing business as Koala-D Meds.

Where is Miracle On 29th Street located?

Miracle On 29th Street is located at 18210 N 29th St, Phoenix, AZ 85032. The listed phone number is (480) 302-1101.

What is Miracle On 29th Street's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Miracle On 29th Street was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.