Active NPI
Miller Services LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Richmond, VA
National Provider Identifier
1407957558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 852-01-001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010291747 | Medicaid | VA |
Other names 1
- Kristie's Family Care
National Provider Directory
National Provider DirectoryNPI 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.