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MILLER HOLDING PINE INC. NPI 1396749297


NPI Information

NPI: 1396749297
Provider Name: MILLER HOLDING PINE, INC.

Doing Business As: WHISPERING PINES OF SPRINGFIELD

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 36D2203485

Address:
1365 SEMINOLE AVE
SPRINGFIELD, OH
ZIP 45506
Phone: (937) 323-1471
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MILLER HOLDING PINE, INC. is an intermediate care facility mentally retarded in Springfield, OH. The provider is (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. MILLER HOLDING PINE, INC. NPI is 1396749297. The provider is registered as an organization entity type.
The provider Is Doing Business As Whispering Pines Of Springfield.

The provider's business location address is:

1365 SEMINOLE AVE
SPRINGFIELD, OH
ZIP 45506-221
Phone: (937) 323-1471
Fax: (937) 323-6388

The provider's authorized official is Kurt Miller .
The authorized official title is President and has the following contact phone number (330) 307-6816.

The CLIA number assigned to this NPI record is 36D2203485 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 12/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10072378MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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