Active NPI
Kenyatta Miller
- Adult Day Care Clinic/Center
- Erie, PA
National Provider Identifier
1760305494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Practice address
- 2630 Wayne St
Erie, PA 16504-2822 - Phone
- (814) 983-8039
- Fax
- (814) 983-8039
- NPI assigned
- Jul 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
2630 Wayne St
Erie, PA 16504-2822
Mailing address
2630 Wayne St
Erie, PA 16504-2822
Phone (814) 983-8039
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1760305494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 WAYNE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165042822",
"telephone_number": "814-983-8039",
"fax_number": "814-983-8039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 WAYNE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165042822",
"telephone_number": "814-983-8039",
"fax_number": "814-983-8039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KENYATTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.