Millcrest Healthcare Group, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1361 Issued in OH

Legal business name

MILLCREST HEALTHCARE GROUP, INC.

Practice address

730 Millcrest Dr
Marysville, OH 43040-1833

Phone

(937) 642-1026

Fax

(937) 642-0177

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

SABER HEALTHCARE HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

William I Weisberg

Title

Its VP

Phone

(216) 292-5706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milcrest Nursing Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1790896835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MILLCREST DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401833",
            "telephone_number": "937-642-1026",
            "fax_number": "937-642-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MILLCREST DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401833",
            "telephone_number": "937-642-1026",
            "fax_number": "937-642-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREST HEALTHCARE GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABER HEALTHCARE HOLDINGS, LLC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ITS VP",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2473863",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milcrest Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Marysville, OH
• Providers in Marysville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.