A Miracle Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

A MIRACLE HOSPICE INC

Practice address

14402 Haynes St
Ste 205
Van Nuys, CA 91401-1474

Phone

(818) 786-9333

NPI assigned

Aug 15, 2011

Last updated

Feb 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Golst

Title

Ceo

Phone

(818) 786-9333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1720367378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14402 HAYNES ST.",
            "address_2": "#205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91401",
            "telephone_number": "818-786-9333",
            "fax_number": "818-786-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14402 HAYNES ST",
            "address_2": "STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011474",
            "telephone_number": "818-786-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MIRACLE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "GOLST",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-786-9333"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.