Active NPI
Rehabilitation Centers, LLC
Doing business as Millcreek of Magee
- Intellectual Disabilities Intermediate Care Facility
- Magee, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 292
- Legal business name
- REHABILITATION CENTERS, LLC
- Doing business as
- Millcreek of Magee
- Practice address
- 900 1St Ave NE
Magee, MS 39111-3255 - Phone
- (601) 849-4221
- Fax
- (601) 849-7188
- NPI assigned
- Sep 7, 2006
- Last updated
- Jan 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Howard
- Title
- Vice President & Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 292 | MS | Primary |
Addresses
Primary practice location
900 1St Ave NE
Magee, MS 39111-3255
Mailing address
6100 Tower Cir Ste 1000
Franklin, TN 37067-1509
Phone (615) 861-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00220473 | Medicaid | MS |
Other names 1
- Millcreek of Magee
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 1699878157. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 25G006
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
- MILLCREEK ICF/IID
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Aug 12, 1977
- Last certification
- Mar 13, 2025
- Beds
- 125
- Ownership / control type
- Private (proprietary)
- Facility address
- 900 First Avenue NE Box 1160
Magee, MS 39111
National Provider Directory
National Provider Directory- Tax ID family
- Millcreek of Magee
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Millcreek of Pontotoc MYPAC
- Health Maintenance Organization
- Pontotoc, MS
- NPI 1538556311
-
dba Millcreek of Pontotoc
- Psychiatric Residential Treatment Facility
- Pontotoc, MS
- NPI 1255448775
-
dba Millcreek Rehabilitation Centers
- Developmentally Disabled Services Day Training Agency
- Magee, MS
- NPI 1275917544
-
dba Millcreek of Magee
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Magee, MS
- NPI 1306292149
-
dba Millcreek of Magee
- Psychiatric Residential Treatment Facility
- Magee, MS
- NPI 1487762076
-
dba Millcreek of Magee
- Child & Adolescent Psychiatry Physician
- Magee, MS
- NPI 1932290392
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pearl, MS
- NPI 1558393843
-
- Family Medicine Physician
- Magee, MS
- NPI 1881651131
-
- Psychiatry Physician
- Whitfield, MS
- NPI 1700975984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609977600000",
"number": "1699878157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 TOWER CIR STE 1000",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370671509",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 1ST AVE NE",
"city": "MAGEE",
"state": "MS",
"postal_code": "391113255",
"telephone_number": "601-849-4221",
"fax_number": "601-849-7188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
"authorized_official_telephone_number": "615-861-6000"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "MS",
"license": "292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00220473",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Millcreek of Magee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Magee, MS
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek Rehabilitation Centers)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Rehabilitation Centers, LLC (Millcreek of Magee)
- Samantha Roberts
- Rudolph S Runnels Sr., M.D.
- Allison Rutland, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.