Organization Active NPI

Milford Aid II Opco LLC

Doing business as Milford Place

  • Assisted Living Facility
  • Milford, DE
National Provider Identifier
1548714306
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MILFORD AID II OPCO LLC
Doing business as
Milford Place
Practice address
500 S Dupont Blvd
Milford, DE 19963-1758
Phone
(312) 725-7000
NPI assigned
Aug 10, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Peter Tarsney
Title
Authorized Signatory
Phone
(312) 725-7102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

500 S Dupont Blvd
Milford, DE 19963-1758

Mailing address

330 N Wabash Ave Ste 3700
Chicago, IL 60611-7605
Phone (312) 725-7102

Other names 1

  • Milford Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D0964123Milford Place500 South Dupont Blvd, Milford, DE 19963Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1548714306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117605",
            "telephone_number": "312-725-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631758",
            "telephone_number": "312-725-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD AID II OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "TARSNEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "312-725-7102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.