Miller Memorial Community, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

2242 Issued in CT

Legal business name

MILLER MEMORIAL COMMUNITY, INC.

Practice address

360 Broad St
Meriden, CT 06450-5843

Phone

(203) 237-8815

Fax

(203) 237-5944

NPI assigned

Aug 25, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Brandon M Munson, CCO

Title

Administrator

Phone

(203) 237-8815

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1922091834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505843",
            "telephone_number": "203-237-8815",
            "fax_number": "203-237-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505843",
            "telephone_number": "203-237-8815",
            "fax_number": "203-237-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER MEMORIAL COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-237-8815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCO"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CT",
            "license": "2242",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Meriden, CT
• Providers in Meriden, CT by specialty
• Nursing Facility/Intermediate Care Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.