Provider Demographics
NPI:1821105933
Name:PK MILLS AND COMPANY
Entity Type:Organization
Organization Name:PK MILLS AND COMPANY
Other - Org Name:HERITAGE COMPLETE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:740-537-1175
Mailing Address - Street 1:1003 FRANKLIN AVENUE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TORONTO
Mailing Address - State:OH
Mailing Address - Zip Code:43964-1153
Mailing Address - Country:US
Mailing Address - Phone:740-537-1175
Mailing Address - Fax:740-537-1992
Practice Address - Street 1:1003 FRANKLIN AVENUE
Practice Address - Street 2:SUITE 1
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964-1153
Practice Address - Country:US
Practice Address - Phone:740-537-1175
Practice Address - Fax:740-537-1992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0954052Medicaid
OH0954052Medicaid