John Gray Home

LBN: Miller Holdings Takoda, Inc.
John Gray Home is an health care organization with primary practice located at 2049 John Gray Road , Cincinnati OH 45240. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Miller Holdings Takoda, Inc. can be contacted via phone (513) 674-0384, or through Miller, Kurt via phone (330) 307-6816.

Contact Information

Primary practice address
2049 John Gray Road Cincinnati OH 45240
Phone: (513) 674-0384
Fax: (513) 674-0464
Website:
Map and Directions
Authorized official contact:
Name: Miller, Kurt
Phone: (330) 307-6816

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1689985756
LBN Legal business name Miller Holdings Takoda, Inc.
DBA Doing business as John Gray Home
Authorized official Miller, Kurt
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2010
Last updated Dec 28th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689985756 NPPES
Ohio MEDICAID 0072244

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