Miracle Mile Health Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MIRACLE MILE HEALTH SERVICES INC

Practice address

1800 Broadview Dr Ste 264-E
Glendale, CA 91208-1259

Phone

(747) 297-7550

Fax

(747) 297-7551

NPI assigned

Aug 27, 2021

Last updated

Aug 27, 2021By 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

Sarkis Minasyan

Title

Ceo

Phone

(747) 297-7550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1336816198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 264-E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "747-297-7550",
            "fax_number": "747-297-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 264-E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "747-297-7550",
            "fax_number": "747-297-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MILE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "MINASYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-297-7550"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.