Organization Active NPI

Miracle Land Homecare LLC

  • In Home Supportive Care Agency
  • La Palma, CA
National Provider Identifier
1396436580
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIRACLE LAND HOMECARE LLC
Practice address
6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Phone
(562) 550-1499
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Soo Lee, RN
Title
Owner
Phone
(562) 550-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545

Mailing address

6 Centerpointe Dr Ste 700
La Palma, CA 90623-2545
Phone (562) 550-1499

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1396436580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 700",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232545",
            "telephone_number": "562-550-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 700",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232545",
            "telephone_number": "562-550-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE LAND HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-550-1499",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.