Miles Place, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MILES PLACE, INC.

Practice address

25451 Adriana St
Mission Viejo, CA 92691-3817

Phone

(949) 458-7869

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Reiner Avendano

Title

Manager

Phone

(949) 273-9951

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1699308155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25751 CHRISANTA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915607",
            "telephone_number": "949-273-9951",
            "fax_number": "844-308-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25451 ADRIANA ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913817",
            "telephone_number": "949-458-7869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18667 San Felipe St",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087120",
            "country_code": "US",
            "telephone_number": "949-273-9951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25612 Adriana St",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926913824",
            "country_code": "US",
            "telephone_number": "949-273-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILES PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "AVENDANO",
        "authorized_official_first_name": "REINER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-273-9951"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "306005754",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "306005765",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "306005766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Mission Viejo, CA
• Providers in Mission Viejo, 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 Feb 12, 2020; 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.