TRACEY NICOLE MILLER
NPI 1457406589
Assisted Living Facility - Assisted Living, Mental Illness in Avondale, AZ

Q: What is Tracey Nicole Miller's NPI number?

The NPI number for Tracey Nicole Miller is 1457406589. It was assigned to this organization in the NPPES registry on January 25, 2007.

Q: What is Tracey Nicole Miller's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since January 25, 2007

12641 W MERRELL ST, AVONDALE, AZ 85323(623) 535-5565 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tracey Nicole Miller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY NICOLE MILLER (NPI 1457406589) is a healthcare organization registered as an assisted living, mental illness in Avondale, Arizona and active in the NPI registry since January 2007. The organization lists Tracey Nicole Miller, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457406589

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameTRACEY NICOLE MILLER

Location Address12641 W MERRELL STAvondale, AZ 85323-6629

Mailing Address12641 W Merrell StAvondale, AZ 85323-6629

Phone(623) 535-5565

Organization SubpartNo

Authorized OfficialTracey Nicole MillerAdministrator · (623) 535-5565

Enumeration DateJanuary 25, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1457406589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in AZ · BH2685

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

12641 W MERRELL ST, Avondale, AZ 85323

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Other Identifiers 2

Medicaid139650AZ

OtherBH2685AZ · State License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Nicole Miller's NPI number?

The NPI number for Tracey Nicole Miller is 1457406589. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Tracey Nicole Miller located?

Tracey Nicole Miller is located at 12641 W Merrell St, Avondale, AZ 85323. The listed phone number is (623) 535-5565.

What is Tracey Nicole Miller's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Tracey Nicole Miller was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.