Mission Lake Villa, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MISSION LAKE VILLA, INC.

Practice address

65045 Blue Sky Cir
Desert Hot Springs, CA 92240-7610

Phone

(760) 383-3388

Fax

(760) 671-5554

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Anahit Mesropyan

Title

Owner

Phone

(818) 807-1338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1427737857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65045 BLUE SKY CIR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922407610",
            "telephone_number": "760-383-3388",
            "fax_number": "760-671-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65045 BLUE SKY CIR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922407610",
            "telephone_number": "760-383-3388",
            "fax_number": "760-671-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION LAKE VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "MESROPYAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-807-1338"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Miker
• Robert Brandon Miles, ASSOCIATE CSW
• Teri Jean Mills, CADCII
• Richard Allen Milstead
• Yashodhan Mirashi, PHARMD
• Barbara Foucek Montgomery, LVN
• Mount Hope Home Health Corp.
• Parry Myers
• Larry Michael Nahmias, M.D.
• Narconon Joshua Hills (Narconon Palm Springs)

• Assisted Living Facility in Desert Hot Springs, CA
• Providers in Desert Hot Springs, 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 Jul 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.