JOHN GRAY HOME – NPI #1689985756
Intermediate Care Facility, Intellectual Disabilities

An intermediate care facility providing services for individuals with intellectual disabilities.

Health Care Provider Taxonomy Code for Intermediate Care Facility, Intellectual Disabilities

JOHN GRAY HOME is a facility located in CINCINNATI, OH. NPPES has assigned the NPI number 1689985756 to JOHN GRAY HOME on June 23, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JOHN GRAY HOME” is a dba name, the actual legal business name for this organization is MILLER HOLDINGS TAKODA, INC.. The primary taxonomy selected by this provider is 315P00000X from the Health Care Provider Taxonomy code set, which is classified as Intermediate Care Facility, Intellectual Disabilities.

The NPI profile was previously updated about 13 years ago on Dec 28, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN GRAY HOME below.

NPI Profile for
MILLER HOLDINGS TAKODA, INC.

NPI Number
1689985756
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MILLER HOLDINGS TAKODA, INC.
Doing Business As (dba): JOHN GRAY HOME
Primary location
2049 JOHN GRAY ROAD
CINCINNATI, OH 45240
Phone: (513) 674-0384 Fax: (513) 674-0464
Mailing address
2460 ELM RD NE
STE 600
WARREN, OH 44483-2900
Phone: (330) 307-6816 Fax:
Organization Subpart
No
Authorized Official
KURT MILLER
PRESIDENT
Phone: (330) 307-6816
Updated
Identifiers

Identifiers for JOHN GRAY HOME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0072244
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
315P00000X
- Intermediate Care Facility, Intellectual Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.