Provider Demographics
NPI:1558783522
Name:MILLER HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:MILLER HOME HEALTH AGENCY, INC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-215-8520
Mailing Address - Street 1:71 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-9024
Mailing Address - Country:US
Mailing Address - Phone:904-215-8520
Mailing Address - Fax:904-215-8524
Practice Address - Street 1:71 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-9024
Practice Address - Country:US
Practice Address - Phone:904-215-8520
Practice Address - Fax:904-215-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health