Miller Place Residential Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MILLER PLACE RESIDENTIAL CARE LLC

Doing business as

Miller Place Residential Care

Practice address

140 Cox St
Spartanburg, SC 29306-4807

Phone

(864) 573-7008

Fax

(864) 752-1084

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Beauty Jackson

Title

Manager

Phone

(404) 394-6933

Specialties & licenses 1

Addresses

Other names 1

• Miller Place Residential Care Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1578188967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ELM ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054006",
            "telephone_number": "404-394-6933",
            "fax_number": "864-752-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COX ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293064807",
            "telephone_number": "864-573-7008",
            "fax_number": "864-752-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PLACE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BEAUTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-394-6933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Place Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vasiliki Migdalas, PA-C
• Michael Peter Mikulasovich, D.O.
• Mark L Miles, MD
• Samantha J Miles, MSP, CCC-SLP
• Miller Endodontics, PA
• Debra Miller-Cox, M.D.
• April Miller, RN
• Dallis C Miller, CACP
• Dylan Ryan Miller
• Emily Miller, LMSW

• Nursing Care Agency in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Nursing Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.