Miller Retirement Home, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 7498 Issued in FL

Legal business name

MILLER RETIREMENT HOME, INC

Practice address

11262 SW 56 Street
Miami, FL 33165

Phone

(305) 412-3633

Fax

(305) 225-1289

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Marlene Fuentes

Title

Owner

Phone

(305) 796-8220

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1497963441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11262 SW 56 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-412-3633",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11262 SW 56 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-412-3633",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER RETIREMENT HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-796-8220"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 7498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142190500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miller Heights Home
• Miller Home Care Inc
• Miller Medical Group Inc
• Miller of Miami, Inc.
• Miller Rehabilitation Center
• Miller Therapy Staffing Inc
• Bridget R Miller-Bursey, BS
• Jenna Michelle Miller-Haj, RN
• Amanda Miller, MS RD
• Andrea Royall Miller

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.