Healthcare Provider Details

I. General information

NPI: 1376256933
Provider Name (Legal Business Name): THE MIRELES GROUP MARKETING & BILLING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2022
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7273 MURRAY DR STE 3A
STOCKTON CA
95210-3351
US

IV. Provider business mailing address

7273 MURRAY DR STE 3A
STOCKTON CA
95210-3351
US

V. Phone/Fax

Practice location:
  • Phone: 209-594-5980
  • Fax: 800-783-4876
Mailing address:
  • Phone: 209-594-5980
  • Fax: 800-783-4876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANGELINA MIRELES
Title or Position: OWNER
Credential:
Phone: 209-594-5980