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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRACLE ON 29TH STREET

Active Organization

MIRACLE ON 29TH STREET is a Case Manager organization located in PHOENIX, Arizona. NPI 1255835997 is currently active in the NPPES registry. Verify at CMS.

Case Manager · PHOENIX, AZ

Registration Details

NPI Number
1255835997
Provider Type
Organization
NPI Issued
Mar 19, 2018 (8.4173010045753 yrs)
Last Updated
Sep 12, 2025
License
AL10509H (AZ)

Practice Information

Address
18210 N 29TH ST
PHOENIX, AZ, 850321103
Browse AZ providers · Browse ZIP 85032
Phone
4803021101
Primary Specialty
Case Manager
171M00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.