Miracle Mile Medical Center
NPI 1174385934 · Substance Abuse Rehabilitation Facility · Encino, CA
Miracle Mile Medical Center is a Substance Abuse Rehabilitation Facility organization in Encino, CA (NPI 1174385934).
Provider details
- NPI number
- 1174385934
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jordan Jackelini, President(310) 905-9682
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Miracle Mile Recovery
- Doing business as
- Miracle Mile Recovery
Registry dates
- Enumerated
- 2024-01-26
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Frequently asked questions
- What is Miracle Mile Medical Center's NPI number?
- Miracle Mile Medical Center's National Provider Identifier (NPI) is 1174385934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miracle Mile Medical Center?
- Miracle Mile Medical Center is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Miracle Mile Medical Center located?
- Miracle Mile Medical Center's practice location on file with NPPES is 15910 Ventura Blvd Ste 1719, Encino, CA 91436-2838.
- What is Miracle Mile Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Miracle Mile Medical Center is (310) 905-9682.
- Who is the authorized official for Miracle Mile Medical Center?
- The authorized official listed on Miracle Mile Medical Center's NPPES record is Jordan Jackelini, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miracle Mile Medical Center's NPI active?
- Yes — Miracle Mile Medical Center's NPI (1174385934) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.