OrganizationActive
Myracle 1 LLC
NPI 1679297543 · Community/Behavioral Health Agency · North Las Vegas, NV
Myracle 1 LLC is a Community/Behavioral Health Agency organization in North Las Vegas, NV (NPI 1679297543).
Provider details
- NPI number
- 1679297543
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Wanda Clark, Ceo(702) 610-1715
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3925 N Martin L King Blvd Ste 117
North Las Vegas, NV 89032-7675
Phone: (702) 610-1715
Street-level locationGet directions
Mailing address
3925 N Martin L King Blvd Ste 117
North Las Vegas, NV 89032-7675
Registry dates
- Enumerated
- 2022-10-03
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Frequently asked questions
- What is Myracle 1 LLC's NPI number?
- Myracle 1 LLC's National Provider Identifier (NPI) is 1679297543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Myracle 1 LLC?
- Myracle 1 LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Myracle 1 LLC located?
- Myracle 1 LLC's practice location on file with NPPES is 3925 N Martin L King Blvd Ste 117, North Las Vegas, NV 89032-7675.
- What is Myracle 1 LLC's phone number?
- The practice phone number listed in the NPPES registry for Myracle 1 LLC is (702) 610-1715.
- Who is the authorized official for Myracle 1 LLC?
- The authorized official listed on Myracle 1 LLC's NPPES record is Wanda Clark, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Myracle 1 LLC's NPI active?
- Yes — Myracle 1 LLC's NPI (1679297543) is active in the NPPES registry as of the last update on 2022-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.