Organization Active NPI

Miya Homes LLC

  • Substance Abuse Rehabilitation Facility
  • Salisbury, MD
National Provider Identifier
1396593703
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MIYA HOMES LLC
Practice address
1804 Ocean Shore Dr
Salisbury, MD 21801-2588
Phone
(443) 336-3867
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Eleanor Siri, O.D
Title
Chief Operating Officer
Phone
(443) 336-3867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1804 Ocean Shore Dr
Salisbury, MD 21801-2588

Mailing address

9566 Wedge Way
Delmar, MD 21875-2378
Phone (240) 486-0335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1396593703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9566 WEDGE WAY",
            "city": "DELMAR",
            "state": "MD",
            "postal_code": "218752378",
            "telephone_number": "240-486-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OCEAN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012588",
            "telephone_number": "443-336-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIYA HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "SIRI",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "443-336-3867",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.