Miracle Life Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000975 Issued in CA

Legal business name

MIRACLE LIFE HOME HEALTH, INC.

Practice address

2829 N Glenoaks Blvd
Suite 105
Burbank, CA 91504-2661

Phone

(818) 546-2382

Fax

(818) 546-2385

NPI assigned

Dec 16, 2008

Last updated

Nov 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gevorg George Akhverdyan

Title

Ceo/President

Phone

(818) 546-2382

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1316183676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 N GLENOAKS BLVD",
            "address_2": "SUITE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042661",
            "telephone_number": "818-546-2382",
            "fax_number": "818-546-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 N GLENOAKS BLVD",
            "address_2": "SUITE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042661",
            "telephone_number": "818-546-2382",
            "fax_number": "818-546-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE LIFE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "AKHVERDYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-546-2382"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.