Miracle Assisted Living Facility, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIRACLE ASSISTED LIVING FACILITY, INC

Practice address

20648 Londelius St
Winnetka, CA 91306-1023

Phone

(818) 300-8393

NPI assigned

Mar 5, 2022

Organization subpart

No

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

Authorized official

Name

Gayane Aghabekyan

Title

Administrator

Phone

(818) 300-8393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1184371585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20648 LONDELIUS ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913061023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20648 LONDELIUS ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913061023",
            "telephone_number": "818-300-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE ASSISTED LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "AGHABEKYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-300-8393"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.