Mirage Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R-201513053 Issued in CA

Legal business name

MIRAGE HOME HEALTH

Practice address

82691 Miles Ave
Indio, CA 92201

Phone

(760) 342-0016

Fax

(760) 342-0016

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Rosie M Verdugo, BSHS

Title

Ceo

Phone

(760) 342-0016

Specialties & licenses 1

Addresses

Other names 1

• Mirage Home Care Former legal business name

Locations

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1912434937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2164",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922022164",
            "telephone_number": "760-342-0016",
            "fax_number": "760-342-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82691 MILES AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-342-0016",
            "fax_number": "760-342-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VERDUGO",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-342-0016",
        "authorized_official_credential": "BSHS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "R-201513053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirage Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Heather Leigh Miles, RADT
• Kristina E Miller
• Deon Demitrius Mills Jr.
• Dan Leo Minkel I, PSY. D DCR
• Nicole Minkoff
• Darlene Miranda Porras
• Ashley Miranda, LVN
• Daniel Miranda
• Sylvia Guadalupe Miranda
• Moffitt Chiropractic Inc

• Home Health Agency in Indio, CA
• Providers in Indio, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.