Active NPI
Mih Project a, LLC
- Skilled Nursing Facility
- Sylmar, CA
National Provider Identifier
1033697230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 550004114
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.