MIRACLE HEALTH CARE SERVICES LLC
NPI 1568938140
Community/Behavioral Health in Charlotte, NC

Active since October 22, 2018
2627 PROVIDENCE RD, CHARLOTTE, NC 28211(980) 219-7315 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miracle Health Care Services Llc NPPES

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

MIRACLE HEALTH CARE SERVICES LLC (NPI 1568938140) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since October 2018. The organization lists Xavier L Young, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568938140
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMIRACLE HEALTH CARE SERVICES LLC
Location Address2627 PROVIDENCE RDCharlotte, NC 28211-2238
Mailing Address2627 Providence RdCharlotte, NC 28211-2238 · (980) 219-7315
Organization SubpartNo
Authorized OfficialXavier L YoungCeo · (980) 219-7315
Enumeration DateOctober 22, 2018
NPI 1568938140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

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.

2627 PROVIDENCE RD, Charlotte, NC 28211

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2627 PROVIDENCE RD
CHARLOTTE, NC 28211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568938140, enumerated as an "organization" on October 22, 2018.

The provider is located at 2627 PROVIDENCE RD CHARLOTTE, NC 28211 and the phone number is (980) 219-7315.

Community/Behavioral Health with taxonomy code 251S00000X.