KHEIR MIRAE ADULT DAY HEALTH CARE CENTER
NPI 1396964110
Clinic/Center - Adult Day Care in Los Angeles, CA

Active since April 24, 2007CLIA 05D2249334 · Waiver
717 S WESTERN AVE., LOS ANGELES, CA 90005(213) 427-4000 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kheir Mirae Adult Day Health Care Center NPPES

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

KHEIR MIRAE ADULT DAY HEALTH CARE CENTER (NPI 1396964110) is a healthcare organization registered as an adult day care in Los Angeles, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Erin Pak, Ceo - Adhc Administrator, as its authorized official.

NPPES Registry Identity

NPI1396964110
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameKHEIR MIRAE ADULT DAY HEALTH CARE CENTER
Location Address717 S WESTERN AVE.Los Angeles, CA 90005-3113
Mailing Address3727 W 6th St Ste 210Los Angeles, CA 90020-5108
Organization SubpartYesParent: Korean Health Education Information And Research Center
Authorized OfficialErin PakCeo - Adhc Administrator · (213) 427-4000
Enumeration DateApril 24, 2007
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 3, 2020
NPI 1396964110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License Licensed in CA · 060000909
717 S WESTERN AVE., Los Angeles, CA 90005

Other Identifiers 1

OtherADU70398FCA · Provider Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2249334

Kheir Mirae Adult Day Health Care Center · Los Angeles, CA
Active · expires Jan 18, 2028
CLIA Number05D2249334
Laboratory TypeAdult Day Health Care Cen
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorVictor Kong
Laboratory Phone(213) 224-8888
Laboratory LocationKheir Mirae Adult Day Health Care Center717 S Western Ave, Los Angeles, CA 90005
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kheir Mirae Adult Day Health Care Center's NPI number?

The NPI number for Kheir Mirae Adult Day Health Care Center is 1396964110. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Kheir Mirae Adult Day Health Care Center located?

Kheir Mirae Adult Day Health Care Center is located at 717 S Western Ave., Los Angeles, CA 90005. The listed phone number is (213) 427-4000.

What is Kheir Mirae Adult Day Health Care Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Kheir Mirae Adult Day Health Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2249334) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kheir Mirae Adult Day Health Care Center was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.