MEDICARE: MIRAY LIFE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1740972074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIRAY LIFE CARE LLC

Provider Business Mailing Address
First Line	:	3260 PINE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-5051
Country	:	US
Telephone Number	:	310-422-0950
Fax Number	:

Provider Business Practice Location Address
First Line	:	3260 PINE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-5051
Country	:	US
Telephone Number	:	310-422-0950
Fax Number	:

Authorized Official
Title or Position	:	LICENSEE
Name	:	MICHELLE PORCA
Credential	:
Telephone Number	:	310-422-0950

Provider Enumeration Date	:	05/24/2023
Last Update Date	:	05/24/2023

Similar Medicare Providers

1457103103 — HOLISTIC BEHAVIORAL HEALTH LLC
Practice Location Address:

101 LONG PASS CT
LAKE SAINT LOUIS, MO
63367-5051

Practice Phone: 314-600-5221
Practice Fax:

1649067786 — ROWENA COLEMAN
Practice Location Address:

5443 N LONG ISLAND DR APT 1
MILWAUKEE, WI
53209-5051

Practice Phone: 414-317-5348
Practice Fax:

1992984769 — ALTERNATIVE INTEGRATED HEALTH OPTIONS INC
Practice Location Address:

2155 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL
33179-5051

Practice Phone: 788-436-7122
Practice Fax: 305-937-2361

1023278298 — MR. DON JAMES HUNTER PT
Practice Location Address:

3100 SEA MARSH RD
FERNANDINA BEACH, FL
32034-5051

Practice Phone: 904-491-1441
Practice Fax:

1154659852 — MS. DONA ELLIOTT LCSW
Practice Location Address:

2155 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL
33179-5051

Practice Phone: 786-436-7122
Practice Fax: 305-454-0156

1720375892 — MRS. ROCHELLE IRIS DORNEY LMHC
Practice Location Address:

1205 33RD AVE SW
VERO BEACH, FL
32968-5051

Practice Phone: 772-713-8517
Practice Fax:

Directions to “MIRAY LIFE CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.