Miriam'S Adult Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

5360 Issued in AZ

Legal business name

MIRIAM'S ADULT CARE HOME

Practice address

6426 W del Mar LN
Glendale, AZ 85306-3138

Phone

(623) 776-3399

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mirela Guler

Title

Manager

Phone

(623) 776-3399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770645335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 W DEL MAR LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 W DEL MAR LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063138",
            "telephone_number": "623-776-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM'S ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GULER",
        "authorized_official_first_name": "MIRELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-776-3399"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "5360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Mintzmyer, DPT
• Mira Vita Metamophosis, LLC
• Adriana Mirabelli
• Mirame Health LLC
• David B Mires
• Hannah Mirimanian, DPT
• Aimee Mishler, PHARMD
• Sasha Mishler
• Nikita Mishra
• Kiran Mistry, PHARMD

• Adult Care Home Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.