MILLER HOLDINGS STARK INC. NPI 1902183791

NPI Information

  • NPI: 1902183791
  • Provider Name: MILLER HOLDINGS STARK, INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: DEBORAH HOME
  • Address: 1121 DEBORAH ST NW
    CANTON, OH
    ZIP 44720
  • Phone: (330) 497-2116

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NPI Details

MILLER HOLDINGS STARK, INC. is an intermediate care facility mentally retarded in Canton, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MILLER HOLDINGS STARK, INC. NPI is 1902183791. The provider is registered as an organization entity type.
The provider Is Doing Business As Deborah Home.

The provider's business location address is:

1121 DEBORAH ST NW
CANTON, OH
ZIP 44720-821
Phone: (330) 497-2116
Fax: (330) 497-5559

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 enumeration date for this NPI number is 11/8/2011 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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
10072048MEDICAIDOHIO

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: 11/21/2025

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