Miracle On 29th Street, NPI 1255835997
Case Manager/Care Coordinator in Phoenix, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1255835997 |
| NPI Entity Type | Organization |
| Provider Name |
Miracle On 29th Street
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 18210 N 29th St, Phoenix, AZ, US |
| Provider Mailing Address | 18210 N 29th St, Phoenix, AZ, US, 850321103 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Troy Berkley |
| Official Position | OWNER |
| Phone | 480-302-1101 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Case Manager/Care Coordinator |
| Classification | |
| Group | |
| License No. | AL10509H |
| License State | AZ |
| Description | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No |
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