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MIRACLE MILE HEALTHCARE CENTER LLC
NPI 1437789252
Skilled Nursing Facility in Los Angeles, CA

Active since January 21, 2020CLIA 05D0898864 · Waiver
2/5
Overall Rating
1020 S FAIRFAX AVE, LOS ANGELES, CA 90019(323) 938-2451 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miracle Mile Healthcare Center Llc NPPES

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

MIRACLE MILE HEALTHCARE CENTER LLC (NPI 1437789252) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Phillip Chase, Manager, as its authorized official.

NPPES Registry Identity

NPI1437789252
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMIRACLE MILE HEALTHCARE CENTER LLC
Location Address1020 S FAIRFAX AVELos Angeles, CA 90019-4401
Mailing Address107 W Lemon AveMonrovia, CA 91016-2809 · (626) 658-7344
Phone(323) 938-2451
Organization SubpartNo
Authorized OfficialPhillip ChaseManager · (626) 658-7344
Enumeration DateJanuary 21, 2020
✔ NPI 1437789252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
1020 S FAIRFAX AVE, Los Angeles, CA 90019
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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 05D0898864

Miracle Mile Healthcare Center LLC · Los Angeles, CA
Active · expires Mar 13, 2027
CLIA Number05D0898864
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorKingsley O. Ofoegbu
Laboratory Phone(626) 658-7344
Laboratory LocationMiracle Mile Healthcare Center LLC1020 S Fairfax Ave, Los Angeles, CA 90019
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Miracle Mile Healthcare Center, LLC (CMS certification number 555139), from CMS Care Compare.

Miracle Mile Healthcare Center, LLC

Nursing home · Los Angeles, CA
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number555139
Certified Beds120 beds111 residents per day on average
Medicare & Medicaid Participant SinceDecember 11, 1981
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
251.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.5 · LPN 1.11 · RN 0.36
3.97 hrs per resident per day
Weekend Nurse Staffing
3.58 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
51.2%
Registered Nurse Turnover
63.6%
Administrators Who Have Left
In the past year.
3
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
26
Substantiated Complaints
44
Infection-Control Citations
2
Fines
3 totaling $226,136.61
Medicare Payment Denials
2
Total Penalties
5
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

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

WESTSIDE HEALTH CARE, INC.
Skilled Nursing Facility
1020 S FAIRFAX AVE
LOS ANGELES, CA 90019
Los Angeles County (323) 938-2451
BEVERLY WEST HEALTHCARE, LLC
Skilled Nursing Facility
1020 S FAIRFAX AVE
LOS ANGELES, CA 90019
Los Angeles County (323) 938-2451
MIRACLE MILE POST ACUTE LLC
Skilled Nursing Facility
1020 S FAIRFAX AVE
LOS ANGELES, CA 90019
Los Angeles County (323) 938-2451
WESTSIDE HEALTH CARE, LLC
Skilled Nursing Facility
1020 S FAIRFAX AVE
LOS ANGELES, CA 90019
Los Angeles County (323) 938-2451

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 Healthcare Center LLC's NPI number?

The NPI number for Miracle Mile Healthcare Center LLC is 1437789252. It was assigned to this organization in the NPPES registry on January 21, 2020.

Where is Miracle Mile Healthcare Center LLC located?

Miracle Mile Healthcare Center LLC is located at 1020 S Fairfax Ave, Los Angeles, CA 90019. The listed phone number is (323) 938-2451.

What is Miracle Mile Healthcare Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Miracle Mile Healthcare Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0898864) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Miracle Mile Healthcare Center LLC a Medicare-certified nursing home?

Yes. Miracle Mile Healthcare Center, LLC is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Miracle Mile Healthcare Center LLC have?

CMS rates Miracle Mile Healthcare Center, LLC 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Miracle Mile Healthcare Center LLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.