MIRACLE LIFE HOSPICE, INC (NPI# 1457768806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457768806 |
| Entity Type | Organization |
| Organization Name | MIRACLE LIFE HOSPICE, INC |
| Practice Address |
1480 Colorado Blvd Los Angeles CA 90041-2357 |
| Mailing Address |
1480 Colorado Blvd # 120 Los Angeles CA 90041-2357 |
| Practice Telephone | 8184781980 |
| Mailing Telephone | 8184781504 |
| Mailing Fax Number | 8184781980 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | SONA NERSESYAN (CEO) |
| Authorized Official Telephone | 8184781504 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
1480 COLORADO BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90041-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114291564 | Long Term Health Care Hospice Inc | Hospice Care, Community Based | 1480 Colorado Blvd, Suite 125, Los Angeles, CA 90041-2357 | 2012-03-02 |
| 1306381629 | Ella Hospice, Inc. | Hospice Care, Community Based | 1480 Colorado Blvd, Ste 130, Los Angeles, CA 90041-2357 | 2016-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910661 | Saint Care Hospice | Hospice Care, Community Based | 1406 N Kenmore Ave # 3/4, Los Angeles, CA 90027-5827 | 2020-10-23 |
| 1245839208 | My Oasis Hospice Inc | Hospice Care, Community Based | 3151 Cahuenga Blvd W Ste 346, Los Angeles, CA 90068-1749 | 2020-10-21 |
| 1174122105 | Pm Care Hospice | Hospice Care, Community Based | 5300 Santa Monica Blvd Ste 416, Los Angeles, CA 90029-1131 | 2020-10-21 |
| 1114533957 | Samaritan Hospice Care Inc | Hospice Care, Community Based | 1301 W 2nd St Ste 111, Los Angeles, CA 90026-5860 | 2020-09-17 |
| 1871107466 | Angel's Guide Hospice Inc | Hospice Care, Community Based | 1915 N Highland Ave, Los Angeles, CA 90068-3236 | 2020-09-01 |
| 1659983625 | Mimas Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 3171 Los Feliz Blvd Ste F, Los Angeles, CA 90039-1527 | 2020-08-20 |
| 1255943387 | Infinite Hospice | Hospice Care, Community Based | 3371 Glendale Blvd Ste 210, Los Angeles, CA 90039-1857 | 2020-08-19 |
| 1790394344 | Liberum Hospice Care, Inc | Hospice Care, Community Based | 1301 W 2nd St Ste 205, Los Angeles, CA 90026-5861 | 2020-07-29 |
| 1043828080 | Sweet Care Hospice | Hospice Care, Community Based | 5300 Santa Monica Blvd Ste 414, Los Angeles, CA 90029-1260 | 2020-07-15 |
| 1588289896 | Angelino Community Hospice Care Inc | Hospice Care, Community Based | 236 S Atlantic Blvd, Los Angeles, CA 90022-1738 | 2020-06-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90041 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.