Milton'S Manor #2

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL-041-1030 Issued in NC

Legal business name

MILTON'S MANOR #2

Practice address

2509 Triangle Lake Rd
High Point, NC 27260-7138

Phone

(336) 889-8835

NPI assigned

Mar 26, 2012

Organization subpart

No

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

Authorized official

Name

Hermenia Milton

Title

Owner

Phone

(336) 987-2474

Specialties & licenses 1

Addresses

Tax ID family

Milton'S Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Milton'S Manor

  • Assisted Living Facility (Mental Illness)
  • Greensboro, NC
  • NPI 1801037247
  NPD tax ID

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1902172885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 MARTIN LUTHER KING JR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062423",
            "telephone_number": "336-987-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 TRIANGLE LAKE RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272607138",
            "telephone_number": "336-889-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON'S MANOR #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "HERMENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-987-2474"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-041-1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Riggins Miller, RN
• Kelly Wayne Miller, LAT, ATC
• Tiffany Renee Mills-Howell, LCMHCS
• Stephen Alan Mills, MD
• Howard Milton Jr.
• Mindful Innovations
• Mindful Therapeutic Community Support Program
• Mindgate Behavioral Specialists
• Jean Therese Mitchell, LCSW
• John S Mitchell, MD

• Assisted Living Facility (Mental Illness) in High Point, NC
• Providers in High Point, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.