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MIRACLE KIDS SUCCESS ACADEMY OF TRUMANN
NPI 1639773054
Clinic/Center - Developmental Disabilities in Trumann, AR

Active since November 25, 2020
1005 BALCOM LN, TRUMANN, AR 72472(870) 418-1000 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2020, Nov 25, 2020 (2 updates tracked since 2020).

About Miracle Kids Success Academy Of Trumann NPPES

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

MIRACLE KIDS SUCCESS ACADEMY OF TRUMANN (NPI 1639773054) is a healthcare organization registered as a developmental disabilities in Trumann, Arkansas and active in the NPI registry since November 2020. The organization lists Shelly A Keller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639773054
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameMIRACLE KIDS SUCCESS ACADEMY OF TRUMANN
Location Address1005 BALCOM LNTrumann, AR 72472-9502
Mailing Address3127 Southwest Dr Ste AJonesboro, AR 72404-8404 · (870) 336-8100
Phone(870) 418-1000
Organization SubpartNo
Authorized OfficialShelly A KellerCeo · (870) 336-8100
Enumeration DateNovember 25, 2020
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1639773054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
1005 BALCOM LN, Trumann, AR 72472
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Other Providers at the Same Location NPPES 20

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

MORGAN L COOK
Case Manager/Care Coordinator
1005 BALCOM LN
TRUMANN, AR 72472
Poinsett County (870) 483-1461
KAYLA O'BRIEN
Speech-Language Pathologist
1005 BALCOM LN
TRUMANN, AR 72472
Poinsett County (870) 483-1461
AMBER ELLIOTT-ADAMS
Day Training/Habilitation Specialist
1005 BALCOM LN
TRUMANN, AR 72472
Poinsett County (870) 483-1461
JAMES BRADFORD BATES
Registered Nurse
1005 BALCOM LN
TRUMANN, AR 72472
Poinsett County (870) 932-3600
MRS. LINDA FAYE JAMISON
Case Manager/Care Coordinator
1005 BALCOM LN
TRUMANN, AR 72472
Poinsett County (870) 483-1461
VIVIAN MANLEY
Day Training/Habilitation Specialist
1005 BALCOM LN
TRUMANN, AR 72472
Poinsett County (870) 483-1461
LATASHA DOGGETT CDA
Case Manager/Care Coordinator
1005 BALCOM LN
TRUMANN, AR 72472
Poinsett County (870) 483-1461
REBECCA OWENS
Day Training/Habilitation Specialist
1005 BALCOM LN
TRUMANN, AR 72472
Poinsett County (870) 483-1461

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 Kids Success Academy Of Trumann's NPI number?

The NPI number for Miracle Kids Success Academy Of Trumann is 1639773054. It was assigned to this organization in the NPPES registry on November 25, 2020.

Where is Miracle Kids Success Academy Of Trumann located?

Miracle Kids Success Academy Of Trumann is located at 1005 Balcom Ln, Trumann, AR 72472. The listed phone number is (870) 418-1000.

What is Miracle Kids Success Academy Of Trumann's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Miracle Kids Success Academy Of Trumann was last updated on December 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.