NPIMap

Organization Active NPI

Miller Holdings Stark, Inc.

Doing business as Strausser Home

  • Intellectual Disabilities Intermediate Care Facility
  • Canal Fulton, OH
National Provider Identifier
1700163433
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MILLER HOLDINGS STARK, INC.
Doing business as
Strausser Home
Practice address
10405 Strausser St NW
Canal Fulton, OH 44614-8733
Phone
(330) 854-1004
Fax
(330) 854-6700
NPI assigned
Nov 9, 2011
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

10405 Strausser St NW
Canal Fulton, OH 44614-8733

Mailing address

2460 Elm Rd NE
Ste 600
Warren, OH 44483-2900
Phone (330) 307-6816

Other identifiers 1

IdentifierTypeStateIssuer
0072115MedicaidOH

Other names 1

  • Strausser Home Doing business as

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 1700163433. Details of each certification follow.

  • CCN 36G481 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G481

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
STRAUSSER HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 1, 1994
Last certification
Dec 3, 2025
Beds
5
Ownership / control type
Private (proprietary)
Facility address
10405 Strausser Street NW
Canal Fulton, OH 44614

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1700163433",
    "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": "10405 STRAUSSER ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148733",
            "telephone_number": "330-854-1004",
            "fax_number": "330-854-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER HOLDINGS STARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "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": "0072115",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strausser Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canal Fulton, OH

Sources for this page

Verify at the official NPI Registry.