Steven Miller, CSA

Primary specialty

ContractorTaxonomy code 171W00000X

License

15-2251 Issued in OR

Practice address

11022 SE Lenore St
Happy Valley, OR 97086-8790

Phone

(503) 698-2020

Fax

(503) 926-9303

NPI assigned

Jul 10, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Guardian Angel Caregivers Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guardian Angel Caregivers LLC

  • Home Health Agency
  • Happy Valley, OR
  • NPI 1770149411
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1023492931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 SE LENORE ST",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868790",
            "telephone_number": "503-698-2020",
            "fax_number": "503-926-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 SE LENORE ST",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868790",
            "telephone_number": "503-698-2020",
            "fax_number": "503-926-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEVEN",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "15-2251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "26-2009073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUARDIAN",
            "last_name": "CAREGIVERS",
            "middle_name": "ANGEL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Berenice Mendoza Cabello
• Jonathan Meskel
• Amy Michelle Michel, PHD
• Haley Rene Miller
• Stephen Joe Miller, RPH
• Scott D. Mills, M.D.
• Laura D. Milner, PSY. D
• Mindful Alchemy Collective
• Francisco Miranda, N.MD, ND
• Melody Mitchell, LAC

• Contractor in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Contractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.