NPIMap

Organization Active NPI

Miller Holdings Summit, Inc.

Doing business as Ellsworth Home

  • Intellectual Disabilities Intermediate Care Facility
  • Stow, OH
National Provider Identifier
1427586270
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MILLER HOLDINGS SUMMIT, INC.
Doing business as
Ellsworth Home
Practice address
4223 Ellsworth Rd
Stow, OH 44224-2205
Phone
(330) 929-6506
NPI assigned
May 24, 2017
Last updated
May 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Kurt Miller
Title
President
Phone
(330) 307-6816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

4223 Ellsworth Rd
Stow, OH 44224-2205

Mailing address

2460 Elm Rd NE Ste 600
Warren, OH 44483-2949
Phone (330) 307-6816

Other names 1

  • ELLSWORTH HOME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427586270. Details of each certification follow.

  • CCN 36G250 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G250

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ELLSWORTH HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 29, 1986
Last certification
Jul 16, 2025
Beds
5
Ownership / control type
Private (proprietary)
Facility address
4223 Ellsworth Road
Stow, OH 44224

National Provider Directory

National Provider Directory
Tax ID family
Miller Holdings Summit Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1427586270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 ELM RD NE STE 600",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832949",
            "telephone_number": "330-307-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 ELLSWORTH RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242205",
            "telephone_number": "330-929-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER HOLDINGS SUMMIT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-307-6816"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELLSWORTH HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.