Miller Holdings Broadfield, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0268 Issued in OH

Legal business name

MILLER HOLDINGS BROADFIELD, INC.

Practice address

7927 Middle Ridge Rd
Madison, OH 44057-3023

Phone

(440) 466-3702

Fax

(440) 466-7287

NPI assigned

Nov 24, 2009

Organization subpart

No

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

Authorized official

Name

Kurt Miller

Title

President

Phone

(330) 307-6816

Specialties & licenses 1

Addresses

Other names 1

• Broadfield Care Center Doing business as

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1922336239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 ELM RD NE",
            "address_2": "SUITE 600",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832900",
            "telephone_number": "330-307-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 MIDDLE RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573023",
            "telephone_number": "440-466-3702",
            "fax_number": "440-466-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER HOLDINGS BROADFIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-307-6816"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "0268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadfield Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D Eppig MD
• Katthleen Middleton, PTA
• Josephine Mikhail, MD
• Sandy Mikhail, PHARMD
• Debra L Miklos
• Miller Holdings Stewart, Inc.
• Winifred Maureen Mitchell, R.N.
• Kimberly M Mock
• Bonnie Lee Morgan, PT, M.ED.
• Susan Marie Moss, PT

• Intellectual Disabilities Intermediate Care Facility in Madison, OH
• Providers in Madison, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.