Miller Holdings Elyria, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MILLER HOLDINGS ELYRIA, INC.

Doing business as

CEDAR CREEK HOME 1

Practice address

1249 East Ave
Elyria, OH 44035-7674

Phone

(440) 412-4617

NPI assigned

Oct 16, 2018

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 names 1

• CEDAR CREEK HOME 1 Doing business as

Tax ID family

Cedar Creek Home 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Miller Holdings Elyria, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Elyria, OH
  • NPI 1164910634
  NPD tax ID
• Miller Holdings Elyria, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Elyria, OH
  • NPI 1588130769
  NPD tax ID

Locations

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1205302486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 ELM RD NE STE 600",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832949",
            "telephone_number": "330-307-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 EAST AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357674",
            "telephone_number": "440-412-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER HOLDINGS ELYRIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEDAR CREEK HOME 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Romeo Sapuriada Miclat, M.D.
• Midway Pointe Chiropractic, Inc.
• Mary Margaret Migra, LISW, LICDC
• Michele Marie Mikovsky, CDCA
• Miller Holdings Elyria, Inc.
• Miller Holdings Elyria, Inc.
• Christa Miller Phillips, PHARM. D.
• Allan Miller, PT
• Kristine Renee Miller
• Lee A Miller, LPN

• Intellectual Disabilities Intermediate Care Facility in Elyria, OH
• Providers in Elyria, 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 Oct 16, 2018; 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.