MIRACLE KIDS SUCCESS ACADEMY CENTRAL
NPI 1225739048
Clinic/Center - Rehabilitation in Jonesboro, AR

NPI Status: Active since March 17, 2023

Contact Information

1607 STONE ST
JONESBORO, AR
ZIP 72401
Phone: (870) 336-4100

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  • Organization
  • Clinic/Center
  • Rehabilitation

About MIRACLE KIDS SUCCESS ACADEMY CENTRAL

This page provides the complete NPI Profile along with additional information for Miracle Kids Success Academy Central, a provider established in Jonesboro, Arkansas operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1225739048 assigned on March 2023. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Shelly A Keller Mcd, Ccc-slp (Ceo)

NPI
1225739048
Provider Name
MIRACLE KIDS SUCCESS ACADEMY CENTRAL
Entity Type
Organization
Location Address
1607 STONE ST JONESBORO, AR 72401
Location Phone
(870) 336-4100
Mailing Address
3127 SOUTHWEST DR STE A JONESBORO, AR 72404
Mailing Phone
(870) 336-8100
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-17-2023
Last Update Date
03-17-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELLY A KELLER MCD, CCC-SLP

Authorized Official Title
CEO
Authorized Official Phone
(870) 761-6680

Reviews for MIRACLE KIDS SUCCESS ACADEMY CENTRAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225739048
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22451431808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 1 + 4 + 3 + 1 + 8 + 0 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1225739048 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194180612 LAURA BROWN M.C.D, SLP
Individual
Speech-Language Pathologist1607 STONE ST
JONESBORO, AR 72401
(870) 932-5561
1013461953MR. JEREMY RYAN HART COTA/L
Individual
Occupational Therapist1607 STONE ST
JONESBORO, AR 72401
(870) 932-5551
1750800587MRS. AMBER DAWN SMYLY
Individual
Occupational Therapy Assistant1607 STONE ST
JONESBORO, AR 72401
(870) 932-5551
1437660230 EMILY SARAH SISCO
Individual
Occupational Therapy Assistant1607 STONE ST
JONESBORO, AR 72401
(870) 932-5551
1679081905 LINDSAY SCOTT COTA/L
Individual
Occupational Therapy Assistant1607 STONE ST
JONESBORO, AR 72401
(870) 932-5551
1174234322MIRACLE KIDS SUCCESS ACADEMY CENTRAL
Organization
Physical Therapist1607 STONE ST
JONESBORO, AR 72401
(870) 336-4100
1326844267MIRACLE KIDS SUCCESS ACADEMY CENTRAL
Organization
Clinic/Center (Developmental Disabilities)1607 STONE ST
JONESBORO, AR 72401
(870) 336-4100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225739048, enumerated in the NPI registry as an "organization" on March 17, 2023

The provider is located at 1607 Stone St Jonesboro, Ar 72401 and the phone number is (870) 336-4100

This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation

This NPI record was last updated on March 17, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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