MILLER HOLDINGS STARK, INC. (NPI# 1902183791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902183791 |
| Entity Type | Organization |
| Organization Name | MILLER HOLDINGS STARK, INC. |
| Other Organization Name | DEBORAH HOME |
| Practice Address |
1121 Deborah St Nw Canton OH 44720-3821 |
| Mailing Address |
2460 Elm Rd Ne Ste 600 Warren OH 44483-2900 |
| Practice Telephone | 3304972116 |
| Practice Fax Number | 3304975559 |
| 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 | 0072048 | 05 |
| Other Name | Type Code |
|---|---|
| Deborah 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 |
| 1174800965 | Miller Holdings Stark, Inc. | Intermediate Care Facility, Mentally Retarded | 3927 Carnegie Ave Nw, Massillon, OH 44646-1513 | 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 |
1121 DEBORAH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44720-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
| 1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
| 1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
| 1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
| 1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
| 1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
| 1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
| 1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
| Find all providers in zip 44720 | ||||
| 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 |
|---|---|---|---|---|
| 1689847444 | People Developed Systems, Inc | Intermediate Care Facility, Mentally Retarded | 4914 Hills and Dales Rd Nw, Canton, OH 44708-1406 | 2008-04-11 |
| 1558559815 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 4200 David Ave Nw, Canton, OH 44709-2381 | 2007-10-11 |
| 1366639544 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 1606 42nd St Nw, Canton, OH 44709-1764 | 2007-10-01 |
| 1801083084 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 2424 Market Ave N, Canton, OH 44714-1942 | 2007-10-01 |
| 1679780555 | Voca Corp | Intermediate Care Facility, Mentally Retarded | 3317 Maxine Ave Ne, Canton, OH 44705-3800 | 2007-05-17 |
| 1659353688 | Preferred Care Developmental Centers of Ms I Inc | Intermediate Care Facility, Mentally Retarded | 1145 Tisdale Ave, Canton, MS 39046-4965 | 2005-11-16 |
| 1780183822 | N Market Leasing Co. LLC | Intermediate Care Facility, Mentally Retarded | 1223 Market Ave N, Canton, OH 44714-2603 | 2018-02-05 |
| 1275901167 | Baptist Homes Inc | Intermediate Care Facility, Mentally Retarded | 461 Goodloe Rd, Canton, MS 39046-9740 | 2015-09-09 |
| 1326212580 | People Developed Systems Inc | Intermediate Care Facility, Mentally Retarded | 4914 Hills and Dales Rd Nw, Canton, OH 44708-1406 | 2008-04-18 |
| 1063686228 | People Developed Systems | Intermediate Care Facility, Mentally Retarded | 4914 Hills and Dales Rd Nw, Canton, OH 44708-1406 | 2008-04-18 |
| Find all providers in CANTON | ||||
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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.