Mills Health & Rehab Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100472 Issued in KY

Legal business name

MILLS HEALTH & REHAB CENTER, INC.

Practice address

500 Beck LN
Mayfield, KY 42066-1950

Phone

(270) 247-7890

Fax

(270) 251-3689

NPI assigned

Jul 30, 2006

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Rodman

Title

Asst. Secretary

Phone

(407) 975-3011

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1972518769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 N KELLER RD",
            "address_2": "SUITE 250",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517503",
            "telephone_number": "407-975-3000",
            "fax_number": "407-975-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BECK LN",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661950",
            "telephone_number": "270-247-7890",
            "fax_number": "270-251-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS HEALTH & REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ASST. SECRETARY",
        "authorized_official_telephone_number": "407-975-3011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100472",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "90003963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100025480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003963",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger Lee McManus
• Karen M. McManus, MS, CCC-SLP
• Steve Melloy
• Erica Nicole Melton, PHARMD
• Kimberly Jane Miller, LPN
• Mills Opco LLC (Mills Health & Rehab Center)
• Allison Higgins Mills, DMD
• Jerry J Mills, DDS
• Wes Hunter Mills, D.M.D
• Mind, Body, Soul, LLC

• Skilled Nursing Facility in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.