MIRA AT MAUMELLE
NPI 1649051665
Assisted Living Facility in Maumelle, AR
About Mira At Maumelle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRA AT MAUMELLE (NPI 1649051665), doing business as Mira At Maumelle, Llc, is a healthcare organization registered as an assisted living facility in Maumelle, Arkansas and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Craig Hanson, Partner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 04D2298853
Mira At Maumelle · Maumelle, ARFrequently 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 Mira At Maumelle's NPI number?
The NPI number for Mira At Maumelle is 1649051665. It was assigned to this organization in the NPPES registry on October 6, 2023. The provider is doing business as Mira at Maumelle, LLC.
Where is Mira At Maumelle located?
Mira At Maumelle is located at 925 Country Club Parkway, Maumelle, Ar, Usa, Maumelle, AR 72113. The listed phone number is (952) 254-1362.
What is Mira At Maumelle's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Mira At Maumelle hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2298853) is associated with this NPI, valid through February 8, 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 Mira At Maumelle was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mira At Maumelle · NPI 1649051665
Assisted Living Facility organization in Maumelle, Arkansas. Organization record, active in the CMS NPPES registry since October 6, 2023.
## Identity
- **NPI:** 1649051665 (Entity type: Organization)
- **Enumerated:** October 6, 2023
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Mira at Maumelle, LLC (Doing Business As)
- **Organization subpart:** Yes (part of Mira At Maumelle , Llc)
- **Authorized official:** Craig Hanson, PARTNER/MANAGER
## Practice location
- **Address:** 925 COUNTRY CLUB PARKWAY, MAUMELLE, AR, USA, Maumelle, AR 72113
- **Phone:** (952) 254-1362
## Record status
- **NPPES last updated:** October 6, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649051665) · Data from the CMS NPPES public registry.