Miracle Mile Namor Rcfe LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIRACLE MILE NAMOR RCFE LLC

Practice address

6273 Del Valle Dr
Los Angeles, CA 90048-5305

Phone

(323) 807-0549

NPI assigned

Sep 26, 2024

Last updated

Sep 26, 2024By 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

Edith Nagel

Title

Licensee

Phone

(323) 807-0549

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1871311100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6273 DEL VALLE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485305",
            "telephone_number": "323-807-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6273 DEL VALLE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485305",
            "telephone_number": "323-807-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MILE NAMOR RCFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "323-807-0549"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Mile Healthcare Center LLC
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• Miracle Mile Medical Center for Dermatology and Cosmetic Surgery, Inc
• Miracle Mile Medical Center, LLC
• Miracle Mile Multispecialty Group
• Miracle Mile Pediatrics
• Miracle Mile Post Acute LLC
• Miracle Mile Surgery Center
• Miracle Surgery Center,
• Miracle Touch Urgent Care

• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Sep 26, 2024; 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.