Millcreek Haven, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MILLCREEK HAVEN, LLC

Doing business as

The Haven at Millcreek

Practice address

1871 E 3300 S
Millcreek, UT 84106-3969

Phone

(801) 845-0123

NPI assigned

Jun 5, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Parry

Title

Owner/Member

Phone

(435) 263-1622

Specialties & licenses 1

Addresses

Other names 1

• The Haven at Millcreek Doing business as

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1891424040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S BLUFF ST STE 301",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703591",
            "telephone_number": "435-263-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 E 3300 S",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841063969",
            "telephone_number": "801-845-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "435-263-1622"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven at Millcreek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Erin Mehan, LCSW
• Richard Merrill, LMT
• Madeline Meyer
• Kyleigh Mickolick
• Nicole Lenore Mihalopoulos, MD
• Millcreek Mind and Wellness
• Millcreek PDC PLLC
• Millcreek Therapy Psychological Services
• Alec Miller, MA
• Kaitlyn Miner, RBT

• Assisted Living Facility in Millcreek, UT
• Providers in Millcreek, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.