CCN: 155299 NPI: 1669495008 Organization

MILLER'S MERRY MANOR

5909 LUTE RD
PORTAGE, IN 463684824

Contact Information

Phone 2197632273
Fax 2197640170
Enumeration Date 2006-07-26
Last Updated 2022-01-27

Taxonomies

Code: 332BN1400X
Code: 332BP3500X License State: IN
Code: 314000000X (Primary) License State: IN License: 06-000196-1

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 29414

providerType 38

vbpAdjustment 0.980826582

censusDivision 4

cbsaActualGeographicLocation 29414

providerType 38

vbpAdjustment 0.981793521

censusDivision 4

cbsaActualGeographicLocation 23844

providerType 38

vbpAdjustment 0.9853191859

censusDivision 0

cbsaActualGeographicLocation 23844

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 23844

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 23844

providerType 38

vbpAdjustment 0.980278308

censusDivision 0

cbsaActualGeographicLocation 23844

providerType 38

vbpAdjustment 0.9857104047

censusDivision 0

cbsaActualGeographicLocation 23844

providerType 38

vbpAdjustment 0.9860668202

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.