Miracles in Action LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MIRACLES IN ACTION LLC

Practice address

9241 Reseda Blvd Ste 200
Northridge, CA 91324-3138

Phone

(818) 429-9103

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Amna Butler

Title

Director/Operator

Phone

(818) 429-9103

Specialties & licenses 1

Addresses

Tax ID family

Miracles in Action LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Miracles in Action, LLC

  • Substance Abuse Rehabilitation Facility
  • Burbank, CA
  • NPI 1518336593
  NPD tax ID

Practitioners 1

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

• Bruce M Stark, M.D.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1902801301
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1720629587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 RESEDA BLVD STE 200",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243138",
            "telephone_number": "818-429-9103",
            "fax_number": "747-237-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 RESEDA BLVD STE 200",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243138",
            "telephone_number": "818-429-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES IN ACTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "AMNA",
        "authorized_official_title_or_position": "DIRECTOR/OPERATOR",
        "authorized_official_telephone_number": "818-429-9103"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Park DDS Inc
• Minimed Distribution Corp.
• Minimed Distribution Corp.
• Mitra Minovi
• Miracle-Ear, Inc.
• Miracles in Action, LLC
• Ellie Miraftabi, PH.D., MFT
• Conrad J R Miranda IV, M.D.
• Darrel Martin Miranda
• Haydee Miranda

• Substance Use Disorder Rehabilitation Clinic/Center in Northridge, CA
• Providers in Northridge, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.