Skilled Mirage LLC
NPI 1710582101ActiveOrganization· Skilled Nursing Facility· Rancho Mirage, CA
Skilled Nursing Facility in Rancho Mirage, California, registered in NPPES in December 2020. The authorized official on file is Scott Kirby, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1710582101 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2020 |
| Last updated in NPPES | Dec 2, 2020 |
| Certified by provider | Dec 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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