Mill Creek Memory Care Community

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AH520306235 Issued in MI

Legal business name

MILL CREEK MEMORY CARE COMMUNITY

Practice address

1600 Mill Creek CT
Marquette, MI 49855-8877

Phone

(906) 225-5512

Fax

(906) 225-0988

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Mary Mahaney, RN.

Title

Administrator

Phone

(906) 225-5512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1326328121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MILL CREEK CT",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558877",
            "telephone_number": "906-225-5512",
            "fax_number": "906-225-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MILL CREEK CT",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558877",
            "telephone_number": "906-225-5512",
            "fax_number": "906-225-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK MEMORY CARE COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "MAHANEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "906-225-5512",
        "authorized_official_credential": "RN."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "AH520306235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beryl Cailyn Miess
• Mansour Miky, M.D.
• Mark Campbell Miles, PT
• Milestones and Mobility Center, Inc.
• Cecily Milkie, LPN
• Brian G Miller, P.T., O.C.S.
• Bruce David Miller
• Emily Joy Miller, MSW
• Lynn E Miller, MD
• Mindy Sue Miller, MSW CSW

• Physical Disabilities Residential Treatment Facility in Marquette, MI
• Providers in Marquette, MI by specialty
• Physical Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.