OrganizationActive
Miracle City, LLC
NPI 1790223394 · Community/Behavioral Health Agency · Bronx, NY
Miracle City, LLC is a Community/Behavioral Health Agency organization in Bronx, NY (NPI 1790223394).
Provider details
- NPI number
- 1790223394
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Andrea Corson, Chief Compliance Officer(914) 222-4156
Specialties & taxonomies
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2800 Bruckner Blvd Ste 205
Bronx, NY 10465-1972
Phone: (914) 222-4156
Fax: (320) 205-4576
Street-level locationGet directions
Mailing address
2800 Bruckner Blvd Ste 205
Bronx, NY 10465-1972
Registry dates
- Enumerated
- 2017-02-03
- Last updated
- 2019-04-24
Frequently asked questions
- What is Miracle City, LLC's NPI number?
- Miracle City, LLC's National Provider Identifier (NPI) is 1790223394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miracle City, LLC?
- Miracle City, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Miracle City, LLC located?
- Miracle City, LLC's practice location on file with NPPES is 2800 Bruckner Blvd Ste 205, Bronx, NY 10465-1972.
- What is Miracle City, LLC's phone number?
- The practice phone number listed in the NPPES registry for Miracle City, LLC is (914) 222-4156.
- Who is the authorized official for Miracle City, LLC?
- The authorized official listed on Miracle City, LLC's NPPES record is Andrea Corson, Chief Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miracle City, LLC's NPI active?
- Yes — Miracle City, LLC's NPI (1790223394) is active in the NPPES registry as of the last update on 2019-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.