Miracle Adult Day Health Care, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MIRACLE ADULT DAY HEALTH CARE, INC.

Practice address

2050 N Mount Vernon Ave
San Bernardino, CA 92411-1436

Phone

(909) 880-0009

Fax

(909) 880-0006

NPI assigned

Nov 25, 2020

Organization subpart

No

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

Authorized official

Name

Frida Zakaryan

Title

Ceo

Phone

(323) 899-5510

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1982208336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N MOUNT VERNON AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111436",
            "telephone_number": "909-880-0009",
            "fax_number": "909-880-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N MOUNT VERNON AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111436",
            "telephone_number": "909-880-0009",
            "fax_number": "909-880-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE ADULT DAY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "ZAKARYAN",
        "authorized_official_first_name": "FRIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-899-5510"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Minjares
• Quiana Minjarez
• Melissa Ann Minnick, LMFT
• Amber Marie Minniefield
• Miraacles in Recovery
• Jacqueline Miramontes
• Bryan Miranda-Garcia
• Jacqueline Marie Miranda
• Juan Jose Miranda, B.A.
• Marilyn Leticia Miranda

• Adult Day Care Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.