Individual provider Active NPI

Sheila Ann Miller

  • Adult Care Home Facility
  • Dowagiac, MI
National Provider Identifier
1700213394
Registry record updated Sep 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AF140067706 Issued in MI
Practice address
25073 Marcellus Hwy
Dowagiac, MI 49047-9469
Phone
(269) 782-6826
Fax
(269) 462-9243
NPI assigned
Sep 27, 2013
Last updated
Sep 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AF140067706 MI Primary

Addresses

Primary practice location

25073 Marcellus Hwy
Dowagiac, MI 49047-9469

Mailing address

25073 Marcellus Hwy
Dowagiac, MI 49047-9469
Phone (269) 782-6826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AF140067706MIMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380326400000",
    "number": "1700213394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25073 MARCELLUS HWY",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479469",
            "telephone_number": "269-782-6826",
            "fax_number": "269-462-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25073 MARCELLUS HWY",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479469",
            "telephone_number": "269-782-6826",
            "fax_number": "269-462-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF140067706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dowagiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.