Miramonte Enterprises

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NOT AVAILABLE Issued in CA

Legal business name

MIRAMONTE ENTERPRISES

Practice address

275 N San Jacinto St
Hemet, CA 92543-4453

Phone

(951) 658-9441

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel B. David

Title

Managing Member

Phone

(310) 782-1878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Jacinto Healthcare Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1225345614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434453",
            "telephone_number": "951-658-9441",
            "fax_number": "951-766-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434453",
            "telephone_number": "951-658-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMONTE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-782-1878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "NOT AVAILABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05223L",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SNFSECURE.COM",
            "affiliation": "N",
            "endpointDescription": "SECURE EMAIL",
            "address_1": "275 N San Jacinto St",
            "city": "Hemet",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925434453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "San Jacinto Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Jacinto Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah Miller
• Sarah Elizabeth Miller, RD
• Tina Christa Millon, NP
• Brian Glenn Mills Sr., DPM
• Aileen Mique
• Megan Lee Miramontes, DACM, L.AC.
• Monica Miramontes, SLPA
• Aracely Mireles
• Jacqueline Mitchell, LMFT
• Lacey Lynn Mitchell

• Skilled Nursing Facility in Hemet, CA
• Providers in Hemet, CA by specialty
• Skilled Nursing Facility in California

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