Organization Active NPI

Miller Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1407957558
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
852-01-001 Issued in VA
Legal business name
MILLER SERVICES LLC
Practice address
3114 Edgewood Ave
Richmond, VA 23222-2506
Phone
(804) 329-8646
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mr. Tyrone Maurice Miller Sr.
Title
Owner/Director/Ceo
Phone
(804) 868-6215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 852 VA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 852-01-001 VA Primary

Addresses

Primary practice location

3114 Edgewood Ave
Richmond, VA 23222-2506

Mailing address

3114 Edgewood Ave
Richmond, VA 23222-2506
Phone (804) 868-6215

Other identifiers 1

IdentifierTypeStateIssuer
010291747MedicaidVA

Other names 1

  • Kristie's Family Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1407957558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 EDGEWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222506",
            "telephone_number": "804-868-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 EDGEWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222506",
            "telephone_number": "804-329-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/CEO",
        "authorized_official_telephone_number": "804-868-6215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "852",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "852-01-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010291747",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristie's Family Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.