Mirajoy Residential Care Facilities Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MIRAJOY RESIDENTIAL CARE FACILITIES INC

Practice address

23711 Prospect Valley Dr
Diamond Bar, CA 91765-1637

Phone

(909) 860-2150

Fax

(909) 860-2150

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Juliana Campos Concepcion

Title

Administrator

Phone

(949) 636-2478

Specialties & licenses 1

Addresses

Other names 1

• MIRAJOY HOME 1 Doing business as

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1114196631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25376 MAXIMUS ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914518",
            "telephone_number": "949-636-2478",
            "fax_number": "949-587-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23711 PROSPECT VALLEY DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651637",
            "telephone_number": "909-860-2150",
            "fax_number": "909-860-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAJOY RESIDENTIAL CARE FACILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "CAMPOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-636-2478"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRAJOY HOME 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.