MIRACLE KIDS SUCCESS ACADEMY NORTH
NPI 1912479452
Clinic/Center - Rehabilitation in Jonesboro, AR

Active since December 21, 2018
806 GLENDALE ST, JONESBORO, AR 72401(870) 333-2600 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miracle Kids Success Academy North NPPES

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

MIRACLE KIDS SUCCESS ACADEMY NORTH (NPI 1912479452) is a healthcare organization registered as a rehabilitation in Jonesboro, Arkansas and active in the NPI registry since December 2018. The organization lists Shelly Keller, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1912479452
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMIRACLE KIDS SUCCESS ACADEMY NORTH
Location Address806 GLENDALE STJonesboro, AR 72401-4455
Mailing Address1900 Stillwater DrJonesboro, AR 72404-9119 · (870) 333-2600
Organization SubpartNo
Authorized OfficialShelly KellerCeo/owner · (870) 761-6680
Enumeration DateDecember 21, 2018
NPI 1912479452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
806 GLENDALE ST, Jonesboro, AR 72401

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.

Speech-Language Pathologist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Case Manager/Care Coordinator
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Physical Therapist
806 GLENDALE ST
JONESBORO, AR 72401
Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Case Manager/Care Coordinator
806 GLENDALE ST
JONESBORO, AR 72401

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 North's NPI number?

The NPI number for Miracle Kids Success Academy North is 1912479452. It was assigned to this organization in the NPPES registry on December 21, 2018.

Where is Miracle Kids Success Academy North located?

Miracle Kids Success Academy North is located at 806 Glendale St, Jonesboro, AR 72401. The listed phone number is (870) 333-2600.

What is Miracle Kids Success Academy North's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Miracle Kids Success Academy North was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.