1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

MIRACLE VILLAGE
NPI 1346331501
Substance Abuse Rehabilitation Facility in Cleveland, OH

Active since September 27, 2006
4500 KENNARD CT, CLEVELAND, OH 44104(216) 231-5556(216) 231-3993 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miracle Village NPPES

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

MIRACLE VILLAGE (NPI 1346331501) is a healthcare organization registered as a substance abuse rehabilitation facility in Cleveland, Ohio and active in the NPI registry since September 2006. The organization lists Michelle Burley-keys, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1346331501
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEAST SIDE CATHOLIC CENTER & SHELTER
Location Address4500 KENNARD CTCleveland, OH 44104-1321
Mailing AddressPo Box 20177Cleveland, OH 44120-0177 · (216) 231-5556 · Fax (216) 231-3993
Phone(216) 231-5556
Fax(216) 231-3993
Organization SubpartNo
Authorized OfficialMichelle Burley-keysExecutive Director · (216) 231-5556
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346331501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4500 KENNARD CT, Cleveland, OH 44104
Open in Google Maps ↗

Other Names 1

Other NameMiracle Village

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 East Side Catholic Center & Shelter's NPI number?

The NPI number for East Side Catholic Center & Shelter is 1346331501. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider is also known as Miracle Village.

Where is East Side Catholic Center & Shelter located?

East Side Catholic Center & Shelter is located at 4500 Kennard Ct, Cleveland, OH 44104. The listed phone number is (216) 231-5556.

What is East Side Catholic Center & Shelter's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for East Side Catholic Center & Shelter was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.