MIRACLE HEALTH SERVICES, LLC
NPI 1457588238
Community/Behavioral Health in Wilmington, NC

Active since June 18, 2009
800 SHIPYARD BLVD, SUITE 3, WILMINGTON, NC 28412(910) 538-1096 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About MIRACLE HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Miracle Health Services, Llc, a provider established in Wilmington, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1457588238 assigned on June 2009. The practitioner's primary taxonomy code is 251S00000X with license number 7675194 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Yushonda Midgette Ba (Owners)

NPI
1457588238 Verify this NPI
Provider Name
MIRACLE HEALTH SERVICES, LLC
Entity Type
Organization
Location Address
800 SHIPYARD BLVD SUITE 3 WILMINGTON, NC 28412
Location Phone
(910) 538-1096
Mailing Address
800 SHIPYARD BLVD SUITE 3 WILMINGTON, NC 28412
Mailing Phone
(910) 538-1096
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2009
Last Update Date
06-18-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
7675194
License State
NC
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. YUSHONDA MIDGETTE BA

Authorized Official Title
OWNERS
Authorized Official Phone
(910) 538-1096

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner
800 SHIPYARD BLVD, SUITE 1
WILMINGTON, NC 28412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457588238, enumerated as an "organization" on June 18, 2009.

The provider is located at 800 SHIPYARD BLVD SUITE 3 WILMINGTON, NC 28412 and the phone number is (910) 538-1096.

Community/Behavioral Health with taxonomy code 251S00000X.