MILLER SERVICES LLC NPI 1407957558

NPI Information

NPI: 1407957558
Provider Name: MILLER SERVICES LLC

Other Name: KRISTIE'S FAMILY CARE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3114 EDGEWOOD AVE
RICHMOND, VA
ZIP 23222
Phone: (804) 329-8646
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MILLER SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Richmond, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MILLER SERVICES LLC NPI is 1407957558. The provider is registered as an organization entity type.
The provider Other Name Is Kristie's Family Care.

The provider's business location address is:

3114 EDGEWOOD AVE
RICHMOND, VA
ZIP 23222-506
Phone: (804) 329-8646

The provider's authorized official is Tyrone Maurice Miller .
The authorized official title is Owner/director/ceo and has the following contact phone number (804) 868-6215.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/31/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		852	VIRGINIA	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		852-01-001	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010291747	MEDICAID	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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