MIH PROJECT A, LLC (NPI# 1033697230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033697230 |
| Entity Type | Organization |
| Organization Name | MIH PROJECT A, LLC |
| Practice Address |
12611 Amboy Ave Sylmar CA 91342-3606 |
| Practice Telephone | 8183343408 |
| Mailing Telephone | 8183366766 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | JOHN GEVORGYAN (OWNER) |
| Authorized Official Telephone | 8183366766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 550004114 | CA | Nursing & Custodial Care Facilities |
| Street Address |
12611 AMBOY AVE |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669847240 | Saint Mariam Congregate | Skilled Nursing Facility | 13749 Aldergrove St, Sylmar, CA 91342-1718 | 2015-12-07 |
| 1003206111 | Home of Compassion No. 2 | Skilled Nursing Facility | 13500 Borden Ave, Sylmar, CA 91342-2113 | 2015-01-27 |
| 1750634903 | Fenton Villa, Inc. | Skilled Nursing Facility | 13863 Fenton Ave, Sylmar, CA 91342-1670 | 2012-10-24 |
| 1659445203 | Philmar Care LLC | Skilled Nursing Facility | 12260 Foothill Blvd, Sylmar, CA 91342-6001 | 2006-11-17 |
| 1851401251 | G and E Healthcare Services, LLC | Skilled Nursing Facility | 14040 Astoria St, Sylmar, CA 91342-2949 | 2006-08-30 |
| 1205826906 | Quality Long-term Care Inc. | Skilled Nursing Facility | 14122 Hubbard St, Sylmar, CA 91342-4712 | 2005-10-24 |
| 1073503074 | Enter Care Maclay Swc | Skilled Nursing Facility | 12831 Maclay St, Sylmar, CA 91342-4934 | 2005-10-21 |
| 1184619827 | 13333 Fenton Ave LLC | Skilled Nursing Facility | 13333 Fenton Ave, Sylmar, CA 91342-3113 | 2005-09-19 |
| 1871597252 | Ghc of Lakeview Terrace, LLC | Skilled Nursing Facility | 9601 Foothill Blvd, Sylmar, CA 91342-7006 | 2005-06-13 |
| 1235781436 | San Fernando Subacute Rehabilitation Center LLC | Skilled Nursing Facility | 12260 Foothill Blvd, Sylmar, CA 91342-6001 | 2019-07-09 |
| Find all providers in SYLMAR | ||||
Please comment or provide details below to improve the information on MIH PROJECT A, LLC.
| 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.