Miranda Care Adult Family Home

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

A208501 Issued in WA

Legal business name

MIRANDA CARE ADULT FAMILY HOME

Practice address

601 N 39TH St
Yakima, WA 98901-1222

Phone

(509) 577-0423

Fax

(509) 577-0635

NPI assigned

Mar 16, 2008

Organization subpart

No

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

Authorized official

Name

Nicole Christine Reese, RNNPI 1770744310

Title

Registered Nurse Owner

Phone

(509) 952-5564

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Christine Reese, RN

  • Adult Care Home Facility
  • Yakima, WA
  • NPI 1770744310
  NPD (past) Authorized official
• Christopher Michael Reese

  • Student in an Organized Health Care Education/Training Program
  • Yakima, WA
  • NPI 1700326741
  NPD (past)
• Tyler Reese

  • Student in an Organized Health Care Education/Training Program
  • Yakima, WA
  • NPI 1609316645
  NPD (past)

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205625600000",
    "number": "1528239753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 39TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011222",
            "telephone_number": "509-577-0423",
            "fax_number": "509-577-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 39TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011222",
            "telephone_number": "509-577-0423",
            "fax_number": "509-577-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA CARE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-16",
        "last_updated": "2008-03-16",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "REGISTERED NURSE OWNER",
        "authorized_official_telephone_number": "509-952-5564",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "WA",
            "license": "A208501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT CARE HOME",
            "identifier": "311ZA0620X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Monica Miner
• Zachary James Minion, DMD
• Elizabeth Miranda, RN
• Monica Gisele Miranda
• Yessica Miranda
• Courtney Mireles, RN
• Matthew M Mirus

• Custodial Care Facility in Yakima, WA
• Providers in Yakima, WA by specialty
• Custodial Care Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2008; 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.