MILLER HOLDINGS TAKODA, INC. (NPI# 1689985756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689985756 |
| Entity Type | Organization |
| Organization Name | MILLER HOLDINGS TAKODA, INC. |
| Other Organization Name | JOHN GRAY HOME |
| Practice Address |
2049 John Gray Road Cincinnati OH 45240 |
| Mailing Address |
2460 Elm Rd Ne Ste 600 Warren OH 44483-2900 |
| Practice Telephone | 5136740384 |
| Practice Fax Number | 5136740464 |
| Mailing Telephone | 3303076816 |
| Enumeration Date | 2010-06-23 |
| 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 | 0072244 | 05 |
| Other Name | Type Code |
|---|---|
| John Gray Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952601874 | Miller Holdings Takoda, Inc. | Intermediate Care Facility, Mentally Retarded | 8240 Monon Avenue, Cincinnati, OH 45216 | 2010-10-26 |
| 1659689859 | Miller Holdings Takoda, Inc. | Intermediate Care Facility, Mentally Retarded | 7750 Affinity Place, Mt. Healthy, OH 45231 | 2010-09-22 |
| 1972670016 | Miller Holdings Takoda, Inc. | Intermediate Care Facility, Mentally Retarded | 350 Kolb Dr, Fairfield, OH 45014-5357 | 2006-11-30 |
| Street Address |
2049 JOHN GRAY ROAD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760970 | Shirley Odessa Hairston | Home Health | 1802 Fallbrook Lane, Cincinnati, OH 45240 | 2020-11-03 |
| 1316559263 | Big H Home Health Care | Home Health | Northland Blvd, Cincinnati, OH 45240 | 2020-08-21 |
| 1437667912 | May Austin | Respite Care | 11444 Farmington Rd, Cincinnati, OH 45240 | 2018-01-18 |
| 1952815490 | Joyce Kerobo | Licensed Practical Nurse | 1014 Holderness Ln, Cincinnati, OH 45240 | 2017-11-20 |
| 1912429416 | Guselyn Beatrice Bobb | In Home Supportive Care | 12052 Deerhorn Drive, Cincinnati, OH 45240 | 2017-07-17 |
| 1164962239 | Amber Haynes | Counselor | 1570 Jonquilmeadow Dr, Cincinnati, OH 45240 | 2017-03-08 |
| 1215477039 | Ayele Ahouefa Lawson | Licensed Practical Nurse | 962 Glasgow Drive, Cincinnati, OH 45240 | 2017-02-27 |
| 1710365937 | Affordable Dentures - Forest Park, Mark A. Meclosky, Dds, Inc. | Dentist | 1173 Smiley Avenue, Cincinnati, OH 45240 | 2015-05-07 |
| 1720476658 | Medical Staffing Network | Nursing Care | 1388 Waycross Rd Apt B, Cincinnati, OH 45240 | 2014-12-30 |
| 1316351877 | Mirabel Owie Obi | Licensed Practical Nurse | 591 Ashburn Rd # A, Cincinnati, OH 45240 | 2014-06-12 |
| Find all providers in zip 45240 | ||||
| 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 |
|---|---|---|---|---|
| 1558861351 | Residential Management Systems, Inc.-springlawn | Intermediate Care Facility, Mentally Retarded | 1520 Springlawn Avenue, Cincinnati, OH 45223 | 2018-02-19 |
| 1467952572 | Residential Management Systems, Inc.-carini | Intermediate Care Facility, Mentally Retarded | 854 Carini Ln, Cincinnati, OH 45218-1512 | 2018-02-15 |
| 1699275701 | Residential Management Systems, Inc.-thomwood | Intermediate Care Facility, Mentally Retarded | 1440 Thomwood Dr, Cincinnati, OH 45224-1545 | 2018-02-15 |
| 1124528229 | Residential Management Systems, Inc.-hanfield | Intermediate Care Facility, Mentally Retarded | 1757 Hanfield St, Cincinnati, OH 45223-2260 | 2018-02-15 |
| 1184124299 | Residential Management Systems, Inc.-melrose | Intermediate Care Facility, Mentally Retarded | 2629 Melrose Ave, Cincinnati, OH 45206-1601 | 2018-02-15 |
| 1407356512 | Residential Management Systems, Inc.-longmeadow | Intermediate Care Facility, Mentally Retarded | 3250 Longmeadow Ln, Cincinnati, OH 45236-1324 | 2018-02-15 |
| 1003285248 | The Herbert House, LLC | Intermediate Care Facility, Mentally Retarded | 5805 Chandler St, Cincinnati, OH 45227-1731 | 2015-09-17 |
| 1952601874 | Miller Holdings Takoda, Inc. | Intermediate Care Facility, Mentally Retarded | 8240 Monon Avenue, Cincinnati, OH 45216 | 2010-10-26 |
| 1194981720 | Graceworks Enhanced Living | Intermediate Care Facility, Mentally Retarded | 1227 Springfield Pike, Cincinnati, OH 45215-2123 | 2008-08-04 |
| 1821165994 | Miller Holdings Mag, Inc. | Intermediate Care Facility, Mentally Retarded | 219 Hunsford St, Cincinnati, OH 45216-1345 | 2006-11-30 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45240 |
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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.