Miracle Life Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MIRACLE LIFE HOSPICE, INC

Practice address

1480 Colorado Blvd
Los Angeles, CA 90041-2357

Phone

(818) 478-1980

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Sona Nersesyan

Title

Ceo

Phone

(818) 478-1504

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1457768806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD # 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412357",
            "telephone_number": "818-478-1504",
            "fax_number": "818-478-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412357",
            "telephone_number": "818-478-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE LIFE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "NERSESYAN",
        "authorized_official_first_name": "SONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-478-1504"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 10, 2019; 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.