Organization Active NPI

Mih Project a, LLC

  • Skilled Nursing Facility
  • Sylmar, CA
National Provider Identifier
1033697230
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
550004114 Issued in CA
Legal business name
MIH PROJECT A, LLC
Practice address
12611 Amboy Ave
Sylmar, CA 91342-3606
Phone
(818) 334-3408
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Gevorgyan
Title
Owner
Phone
(818) 336-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 550004114 CA Primary

Addresses

Primary practice location

12611 Amboy Ave
Sylmar, CA 91342-3606

Mailing address

12611 Amboy Ave
Sylmar, CA 91342-3606
Phone (818) 336-6766

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1033697230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 AMBOY AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423606",
            "telephone_number": "818-336-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 AMBOY AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423606",
            "telephone_number": "818-334-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIH PROJECT A, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-336-6766"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550004114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.