Miller Holdings Stark, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MILLER HOLDINGS STARK, INC.

Doing business as

Sturbridge Home

Practice address

14421 Sturbridge Rd NE
Alliance, OH 44601-1102

Phone

(330) 821-1495

Fax

(330) 479-7826

NPI assigned

Nov 8, 2011

Last updated

Dec 28, 2012By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Sturbridge Home Doing business as

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 1679850457. Details of each certification follow.

• CCN 36G490 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G490

Legal name

STURBRIDGE HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 11, 1995

Last certification

Jul 15, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

14421 Sturbridge Street NE
Alliance, OH 44601

Tax ID family

Miller Holdings Stark Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Miller Holdings Stark, Inc.

  dba Carnegie Home

  • Intellectual Disabilities Intermediate Care Facility
  • Massillon, OH
  • NPI 1174800965
  NPD tax ID
• Miller Holdings Stark, Inc.

  dba Strausser Home

  • Intellectual Disabilities Intermediate Care Facility
  • Canal Fulton, OH
  • NPI 1700163433
  NPD tax ID
• Miller Holdings Stark, Inc.

  dba Deborah Home

  • Intellectual Disabilities Intermediate Care Facility
  • Canton, OH
  • NPI 1902183791
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Mark Shivers, MD

  • Family Medicine Physician
  • Salem, OH
  • NPI 1639268352
  NPD (past)

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1679850457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 ELM RD NE",
            "address_2": "STE 600",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832900",
            "telephone_number": "330-307-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14421 STURBRIDGE RD NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446011102",
            "telephone_number": "330-821-1495",
            "fax_number": "330-479-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER HOLDINGS STARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-12-28",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072076",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sturbridge Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Addison Michael, D.P.M
• Kaitlyn Renee Morgan Michaels
• Janet Marie Milburn
• Mary Lou Miletta
• Miller Holdings Alliance, Inc. (Alliance ICF)
• Brant E Miller, PA-C
• Celestine Rose Miller, OD
• Jacqueline Jean Miller
• Rachelle Ruth Miller, PHARMD
• Trisha Miller

• Intellectual Disabilities Intermediate Care Facility in Alliance, OH
• Providers in Alliance, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.