Miller Holdings Stark, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MILLER HOLDINGS STARK, INC.

Practice address

3927 Carnegie Ave NW
Massillon, OH 44646-1513

Phone

(330) 837-4414

Fax

(330) 479-7826

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Kurt Miller

Title

President

Phone

(330) 307-6816

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carnegie Home Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G480

Legal name

CARNEGIE HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 1, 1993

Last certification

Feb 5, 2026

Beds

5

Ownership / control type

Private (proprietary)

Facility address

3927 Carnegie Avenue NW
Massillon, OH 44646

Tax ID family

Miller Holdings Stark Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Miller Holdings Stark, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Alliance, OH
  • NPI 1679850457
  NPD tax ID
• Miller Holdings Stark, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Canal Fulton, OH
  • NPI 1700163433
  NPD tax ID
• Miller Holdings Stark, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Canton, OH
  • NPI 1902183791
  NPD tax ID

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1174800965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 ELM RD NE",
            "address_2": "STE 600",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832900",
            "telephone_number": "330-307-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 CARNEGIE AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446461513",
            "telephone_number": "330-837-4414",
            "fax_number": "330-479-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER HOLDINGS STARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-307-6816"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carnegie Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midwest Health Services Inc.
• Midwest Health Services Inc.
• Midwest Health Services, Inc.
• Midwest Health Services, Inc.
• Midwest Innovations, LLC
• Alicia Miller
• Angela Miller
• Timothy Miller, CDCA
• Timothy R Miller Jr., LPN
• Lake Minor, COTA/L

• Intellectual Disabilities Intermediate Care Facility in Massillon, OH
• Providers in Massillon, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.