Miracle On 29th Street, NPI 1255835997
Case Manager/Care Coordinator in Phoenix, AZ, US

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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
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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

171M00000X

Taxonomy Name Case Manager/Care Coordinator
Classification

Case Manager/Care Coordinator

Group

Other Service Providers

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.

Other Organization Name

Koala-D Meds
Doing Business As

Business Address

Miracle On 29th Street
18210 N 29th St

Phoenix, AZ, US

Phone: 480-302-1101

Mailing Address

Miracle On 29th Street
18210 N 29th St
Phoenix, AZ, US
ZIP 850321103
Phone: 480-302-1101

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No

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