Millercozyhome

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC1803-1803 Issued in OK

Legal business name

MILLERCOZYHOME

Practice address

203 N Gunter St
Vinita, OK 74301-2903

Phone

(918) 256-3796

Fax

(918) 256-3692

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley Brewer

Title

Asst. Administrator

Phone

(918) 256-7291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215142591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743010459",
            "telephone_number": "918-256-3796",
            "fax_number": "918-256-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N GUNTER ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012903",
            "telephone_number": "918-256-3796",
            "fax_number": "918-256-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERCOZYHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "918-256-7291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "RC1803-1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Alyssa Mendoza
• Brandon Wayne Miles
• Kayla Danielle Miller
• Keisha Jane Miller
• Miller's Residential Care, LLC
• Ashlyn Diane Mitchell
• Dusty Cheyenne Mitchell, RBT
• Nicholas Adam Money
• Nathaniel Maques Moore
• Sherl Christine Moore, O.D.

• Assisted Living Facility in Vinita, OK
• Providers in Vinita, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.