Active NPI
Milcrest Healthcare Inc
- Assisted Living Facility
- Marysville, OH
National Provider Identifier
1902404890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MILCREST HEALTHCARE INC
- Practice address
- 730 Millcrest Dr
Marysville, OH 43040-1833 - Phone
- (937) 642-1026
- NPI assigned
- Oct 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hayley Williams
- Title
- Attorney
- Phone
- (216) 706-3936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
730 Millcrest Dr
Marysville, OH 43040-1833
Mailing address
4500 Sunset Cove Dr
Medina, OH 44256-6788
Phone (216) 536-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0234459 | Medicaid | OH | |
| 1361N | Other | OH | LICENSURE |
Other names 1
- Milcrest Nursing Center
National Provider Directory
National Provider Directory- Tax ID family
- Milcrest Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Marysville, OH
- NPI 1871016139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602547200000",
"number": "1902404890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SUNSET COVE DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442566788",
"telephone_number": "216-536-4700"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILCREST HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "HAYLEY",
"authorized_official_title_or_position": "ATTORNEY",
"authorized_official_telephone_number": "216-706-3936"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0234459",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "1361N",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Milcrest Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.