Miller'S Residential Care, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

RC-1803 Issued in OK

Legal business name

MILLER'S RESIDENTIAL CARE, LLC

Practice address

203 N Gunter St
Vinita, OK 74301-2903

Phone

(918) 256-3796

Fax

(918) 256-3692

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ronnie Kelley

Title

Owner/ Administrator

Phone

(918) 527-7461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1346685542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N GUNTER ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012903",
            "telephone_number": "918-256-3796",
            "fax_number": "819-256-3692"
        },
        {
            "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": "MILLER'S RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "918-527-7461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OK",
            "license": "RC-1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Mendez
• Briana Alyssa Mendoza
• Brandon Wayne Miles
• Kayla Danielle Miller
• Keisha Jane Miller
• Millercozyhome
• Ashlyn Diane Mitchell
• Dusty Cheyenne Mitchell, RBT
• Nicholas Adam Money
• Nathaniel Maques Moore

• Assisted Living Facility (Mental Illness) in Vinita, OK
• Providers in Vinita, OK by specialty
• Assisted Living Facility (Mental Illness) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.