NPIMap

Organization Active NPI

Millcreek Manor

  • Clinic/Center
  • Ashtabula, OH
National Provider Identifier
1861266975
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MILLCREEK MANOR
Practice address
524 W 24TH St
Ashtabula, OH 44004-3423
Phone
(440) 997-6915
NPI assigned
Nov 9, 2023
Organization subpart
Yes
Parent organization
MILLCREEK MANORAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Steven Gregory Inman
Title
Director of Finance
Phone
(814) 868-8258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

524 W 24TH St
Ashtabula, OH 44004-3423

Mailing address

5535 Peach St
Erie, PA 16509-2603

Other names 1

  • Rural Health Clinic of Ashtabula Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Millcreek Manor12 organizations share this tax ID, including this one
Part of
Millcreek Manor

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1861266975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W 24TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043423",
            "telephone_number": "440-997-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK MANOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLCREEK MANOR",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "814-868-8258"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Health Clinic of Ashtabula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.