POWER HOUSE MIRACLE CENTER NPI 1619394434

NPI Information

  • NPI: 1619394434
  • Provider Name: POWER HOUSE MIRACLE CENTER
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: THE KINGS HOUSE
  • Address: 10965 RIVER FALLS DR
    JACKSONVILLE, FL
    ZIP 32219
  • Phone: (904) 894-6828

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NPI Details

POWER HOUSE MIRACLE CENTER is an assisted living facility in Jacksonville, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. POWER HOUSE MIRACLE CENTER NPI is 1619394434. The provider is registered as an organization entity type.
The provider Is Doing Business As The Kings House.

The provider's business location address is:

10965 RIVER FALLS DR
JACKSONVILLE, FL
ZIP 32219-138
Phone: (904) 894-6828

The provider's authorized official is Melissa A Wade .
The authorized official title is Administrator and has the following contact phone number (904) 894-6828.

The enumeration date for this NPI number is 3/19/2014 and was last updated on 3/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL11620FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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