MILLERNAIRCLUB, LLC
NPI 1497426613
Community Based Residential Treatment Facility, Mental Illness in Suffolk, VA

Active since September 27, 2021
100 CARRIAGE HOUSE DR, SUFFOLK, VA 23434(252) 370-5964 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Millernairclub, Llc NPPES

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

MILLERNAIRCLUB, LLC (NPI 1497426613) is a healthcare organization registered as a community based residential treatment facility, mental illness in Suffolk, Virginia and active in the NPI registry since September 2021. The organization lists Sakara Dominique Ricks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497426613
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMILLERNAIRCLUB, LLC
Location Address100 CARRIAGE HOUSE DRSuffolk, VA 23434-9219
Mailing Address100 Carriage House DrSuffolk, VA 23434-9219 · (252) 370-5964
Organization SubpartNo
Authorized OfficialSakara Dominique RicksCeo · (252) 370-5964
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1497426613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
100 CARRIAGE HOUSE DR, Suffolk, VA 23434

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
100 CARRIAGE HOUSE DR
SUFFOLK, VA 23434

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 Millernairclub, LLC's NPI number?

The NPI number for Millernairclub, LLC is 1497426613. It was assigned to this organization in the NPPES registry on September 27, 2021.

Where is Millernairclub, LLC located?

Millernairclub, LLC is located at 100 Carriage House Dr, Suffolk, VA 23434. The listed phone number is (252) 370-5964.

What is Millernairclub, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Millernairclub, LLC was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.