Miray Life Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIRAY LIFE CARE LLC

Practice address

3260 Pine Ave
Long Beach, CA 90807-5051

Phone

(310) 422-0950

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Porca

Title

Licensee

Phone

(310) 422-0950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1740972074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075051",
            "telephone_number": "310-422-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075051",
            "telephone_number": "310-422-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAY LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "PORCA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-422-0950"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Long Beach, CA
• Providers in Long Beach, 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 May 24, 2023; 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.