MILLER HOLDINGS STARK, INC. (NPI# 1174800965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174800965 |
| Entity Type | Organization |
| Organization Name | MILLER HOLDINGS STARK, INC. |
| Other Organization Name | CARNEGIE HOME |
| Practice Address |
3927 Carnegie Ave Nw Massillon OH 44646-1513 |
| Mailing Address |
2460 Elm Rd Ne Ste 600 Warren OH 44483-2900 |
| Practice Telephone | 3308374414 |
| Practice Fax Number | 3304797826 |
| Mailing Telephone | 3303076816 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2012-12-28 |
| Authorized Official Name | KURT MILLER (PRESIDENT) |
| Authorized Official Telephone | 3303076816 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0071888 | 05 |
| Other Name | Type Code |
|---|---|
| Carnegie Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700163433 | Miller Holdings Stark, Inc. | Intermediate Care Facility, Mentally Retarded | 10405 Strausser St Nw, Canal Fulton, OH 44614-8733 | 2011-11-09 |
| 1902183791 | Miller Holdings Stark, Inc. | Intermediate Care Facility, Mentally Retarded | 1121 Deborah St Nw, Canton, OH 44720-3821 | 2011-11-08 |
| 1679850457 | Miller Holdings Stark, Inc. | Intermediate Care Facility, Mentally Retarded | 14421 Sturbridge Rd Ne, Alliance, OH 44601-1102 | 2011-11-08 |
| Street Address |
3927 CARNEGIE AVE NW |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811184096 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 512 Kaylynn St Se, Massillon, OH 44646-7060 | 2007-10-01 |
| 1912103433 | L.e.e.d.a. Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1620 Forest Avenue Se, Massillon, OH 44647 | 2007-06-22 |
| 1316142466 | L.e.e.d.a. Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1608 Forest Avenue Se, Massillon, OH 44647-6576 | 2007-06-19 |
| 1750590816 | Alternative Residencestwo Inc | Intermediate Care Facility, Mentally Retarded | 115 19th St Se, Massillon, OH 44646-7149 | 2007-05-22 |
| 1124235122 | Alternative Residences Two Inc | Intermediate Care Facility, Mentally Retarded | 1865 Tremont Ave Se, Massillon, OH 44646-6940 | 2007-05-17 |
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|---|---|---|---|---|
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| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
| 1144841438 | Wood Lane Residential Services | Intermediate Care Facility, Mentally Retarded | 355 W Main St., Portage, OH 43451-9802 | 2020-04-28 |
| 1689209009 | 333 Therapeutics Consulting LLC | Intermediate Care Facility, Mentally Retarded | 331 Toby Rd, Eaton, OH 45320-9529 | 2020-03-05 |
| 1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.