Provider Demographics
NPI:1073770087
Name:MILLER'S HEALTH SYSTEMS INC
Entity Type:Organization
Organization Name:MILLER'S HEALTH SYSTEMS INC
Other - Org Name:MILLER'S MERRY MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-267-7211
Mailing Address - Street 1:PO BOX 4377
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46581-4377
Mailing Address - Country:US
Mailing Address - Phone:574-267-7211
Mailing Address - Fax:574-267-4908
Practice Address - Street 1:1690 S COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-8248
Practice Address - Country:US
Practice Address - Phone:574-267-7211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MILLER'S HEALTH SYSTEMS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200364360Medicaid