Mirage Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIRAGE CARE LLC

Practice address

72201 Country Club Dr
Rancho Mirage, CA 92270-4001

Phone

(760) 340-5999

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By 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

Scott Kirby

Title

Ceo

Phone

(619) 201-5888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1841914876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 AVENIDA DEL DIABLO",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293112",
            "telephone_number": "619-201-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72201 COUNTRY CLUB DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704001",
            "telephone_number": "760-340-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-201-5888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Edward Miner, PT
• Evan R Minkoff, DO
• Ranjeet Minocha, M.D.
• Mirage Aesthetic Concepts Surgical Center
• Mirage Ambulatory Surgery Center, Inc
• Mirage Center Outpatient Surgery
• Mirage Endoscopy Center, L.P.
• Mirage Medical Group
• Mirage on Call Medical Group Inc
• Mirage Pain and Rehabilitation Associates a Medical Group Inc (Desert Pain & Rehabilitation Associates)

• Assisted Living Facility in Rancho Mirage, CA
• Providers in Rancho Mirage, 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 Oct 3, 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.