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MIRACLE MILE RECOVERY
NPI 1174385934
Substance Abuse Rehabilitation Facility in Encino, CA

Active since January 26, 2024
15910 VENTURA BLVD STE 1719, ENCINO, CA 91436(310) 905-9682 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miracle Mile Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE MILE RECOVERY (NPI 1174385934) is a healthcare organization registered as a substance abuse rehabilitation facility in Encino, California and active in the NPI registry since January 2024. The organization lists Jordan Jackelini, President, as its authorized official.

NPPES Registry Identity

NPI1174385934
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMIRACLE MILE MEDICAL CENTER
Location Address15910 VENTURA BLVD STE 1719Encino, CA 91436-2838
Mailing Address15910 Ventura Blvd Ste 1719Encino, CA 91436-2838 · (310) 905-9682
Phone(310) 905-9682
Organization SubpartNo
Authorized OfficialJordan JackeliniPresident · (310) 905-9682
Enumeration DateJanuary 26, 2024
Last NPPES UpdateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1174385934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
15910 VENTURA BLVD STE 1719, Encino, CA 91436
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Other Names 1

Doing Business AsMiracle Mile Recovery

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAFYRE HOLISTIC, INC
Substance Abuse Rehabilitation Facility
15910 VENTURA BLVD STE 1719
ENCINO, CA 91436
Los Angeles County (818) 614-6639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle Mile Medical Center's NPI number?

The NPI number for Miracle Mile Medical Center is 1174385934. It was assigned to this organization in the NPPES registry on January 26, 2024. The provider is doing business as Miracle Mile Recovery.

Where is Miracle Mile Medical Center located?

Miracle Mile Medical Center is located at 15910 Ventura Blvd Ste 1719, Encino, CA 91436. The listed phone number is (310) 905-9682.

What is Miracle Mile Medical Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Miracle Mile Medical Center was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.