Active NPI
Miller Healthcare Network LLC
- Home Health Agency
- Hollywood, FL
National Provider Identifier
1326320623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30211641
- Legal business name
- MILLER HEALTHCARE NETWORK LLC
- Practice address
- 2455 Hollywood Blvd
Suite 110
Hollywood, FL 33020-6605 - Phone
- (786) 663-9790
- Fax
- (305) 395-5239
- NPI assigned
- Sep 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Martine Jules Miller
- Title
- Administrator
- Phone
- (786) 663-9790
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 30211641 | FL | |
| Administrator Registered Nurse | 163WA2000X | 30211641 | FL | |
| Home Health Registered Nurse | 163WH0200X | 30211641 | FL | |
| Licensed Practical Nurse | 164W00000X | 30211641 | FL | |
| Home Health Agency | 251E00000X | 30211641 | FL | Primary |
| Home Infusion Agency | 251F00000X | 30211641 | FL | |
| Nursing Care Agency | 251J00000X | 30211641 | FL | |
| In Home Supportive Care Agency | 253Z00000X | 30211641 | FL | |
| Adult Companion | 372600000X | 30211641 | FL | |
| Attendant Care Provider | 3747A0650X | 30211641 | FL | |
| Personal Care Attendant | 3747P1801X | 30211641 | FL | |
| Home Health Aide | 374U00000X | 30211641 | FL | |
| Homemaker | 376J00000X | 30211641 | FL | |
| Nurse's Aide | 376K00000X | 30211641 | FL |
Addresses
Primary practice location
2455 Hollywood Blvd
Suite 110
Hollywood, FL 33020-6605
Mailing address
2455 Hollywood Blvd
Suite 110
Hollywood, FL 33020-6605
Phone (786) 663-9790
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001866900 | Other | FL | ADA/PAC MEDICAID WAIVER |
| 002664300 | Other | FL | MEDICAID STATE PLAN / PCA |
| 003059300 | Other | FL | APD MEDICAID WAIVER |
National Provider Directory
National Provider Directory- Tax ID family
- Miller Healthcare Network LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Hialeah, FL
- NPI 1689981391
-
- Home Health Agency
- Lehigh Acres, FL
- NPI 1720441223
Locations
2455 Hollywood Blvd
Ste 110
Hollywood, FL 33020
Phone (786) 663-9790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379635200000",
"number": "1326320623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 HOLLYWOOD BLVD",
"address_2": "SUITE 110",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206605",
"telephone_number": "786-663-9790",
"fax_number": "305-395-5239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 HOLLYWOOD BLVD",
"address_2": "SUITE 110",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330206605",
"telephone_number": "786-663-9790",
"fax_number": "305-395-5239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER HEALTHCARE NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-13",
"last_updated": "2013-09-20",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MARTINE",
"authorized_official_middle_name": "JULES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-663-9790",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Administrator",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "30211641",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": "FL",
"license": "30211641",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "FL",
"license": "30211641",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADA/PAC MEDICAID WAIVER",
"identifier": "001866900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID STATE PLAN / PCA",
"identifier": "002664300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APD MEDICAID WAIVER",
"identifier": "003059300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.