Provider Demographics
NPI:1316182439
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:H
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 2:1690 S. COUNTY FARM ROAD
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 1:1101 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:LOGANSPORT
Practice Address - State:IN
Practice Address - Zip Code:46947-7013
Practice Address - Country:US
Practice Address - Phone:574-753-7541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN155774Medicare Oscar/Certification