MIRACLE ADULT DAY HEALTH CARE, INC.
NPI 1982208336
Clinic/Center - Adult Day Care in San Bernardino, CA

Q: What is Miracle Adult Day Health Care, Inc.'s NPI number?

The NPI number for Miracle Adult Day Health Care, Inc. is 1982208336. It was assigned to this organization in the NPPES registry on November 25, 2020.

Q: What is Miracle Adult Day Health Care, Inc.'s specialty?

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

Active since November 25, 2020CLIA 05D2312271 · Waiver

2050 N MOUNT VERNON AVE, SAN BERNARDINO, CA 92411(909) 880-0009(909) 880-0006 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miracle Adult Day Health Care, Inc. NPPES

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

MIRACLE ADULT DAY HEALTH CARE, INC. (NPI 1982208336) is a healthcare organization registered as an adult day care in San Bernardino, California and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Frida Zakaryan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982208336

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business NameMIRACLE ADULT DAY HEALTH CARE, INC.

Location Address2050 N MOUNT VERNON AVESan Bernardino, CA 92411-1436

Mailing Address2050 N Mount Vernon AveSan Bernardino, CA 92411-1436 · (909) 880-0009 · Fax (909) 880-0006

Phone(909) 880-0009

Fax(909) 880-0006

Organization SubpartNo

Authorized OfficialFrida ZakaryanCeo · (323) 899-5510

Enumeration DateNovember 25, 2020

NPPES CertifiedNovember 24, 2020

✔ NPI 1982208336 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

2050 N MOUNT VERNON AVE, San Bernardino, CA 92411

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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 05D2312271

Miracle Adult Day Health Care · San Bernardino, CA

Active · expires Oct 7, 2026

CLIA Number05D2312271

Laboratory TypeAdhc

Certificate Effective DateOctober 8, 2024

Certificate Expiration DateOctober 7, 2026

Laboratory DirectorChristopher Salem

Laboratory Phone(909) 880-0009

Laboratory LocationMiracle Adult Day Health Care2050 N Mount Vernon Ave, San Bernardino, CA 92411

CLIA data matches this NPI record on: Address Name Phone

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 Miracle Adult Day Health Care, Inc.'s NPI number?

The NPI number for Miracle Adult Day Health Care, Inc. is 1982208336. It was assigned to this organization in the NPPES registry on November 25, 2020.

Where is Miracle Adult Day Health Care, Inc. located?

Miracle Adult Day Health Care, Inc. is located at 2050 N Mount Vernon Ave, San Bernardino, CA 92411. The listed phone number is (909) 880-0009.

What is Miracle Adult Day Health Care, Inc.'s specialty?

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

Does Miracle Adult Day Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2312271) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miracle Adult Day Health Care, Inc. was last updated on November 25, 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.