1. Home
  2. Directory
  3. South Carolina
  4. Spartanburg
  5. Nursing Care
  6. NPI Profile

MILLER PLACE RESIDENTIAL CARE LLC
NPI 1578188967
Nursing Care in Spartanburg, SC

Active since June 10, 2020CLIA 42D1001299 · Waiver
140 COX ST, SPARTANBURG, SC 29306(864) 573-7008(864) 752-1084 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2020, Jun 10, 2020 (2 updates tracked since 2020).

About Miller Place Residential Care Llc NPPES

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

MILLER PLACE RESIDENTIAL CARE LLC (NPI 1578188967), doing business as Miller Place Residential Care, is a healthcare organization registered as a nursing care in Spartanburg, South Carolina and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Beauty Jackson, Manager, as its authorized official.

NPPES Registry Identity

NPI1578188967
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameMILLER PLACE RESIDENTIAL CARE LLC
Location Address140 COX STSpartanburg, SC 29306-4807
Mailing Address16 Elm StGreenville, SC 29605-4006 · (404) 394-6933 · Fax (864) 752-1084
Phone(864) 573-7008
Fax(864) 752-1084
Organization SubpartNo
Authorized OfficialBeauty JacksonManager · (404) 394-6933
Enumeration DateJune 10, 2020
Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
✔ NPI 1578188967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
140 COX ST, Spartanburg, SC 29306
Open in Google Maps ↗

Other Names 1

Doing Business AsMiller Place Residential Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1001299

Miller Place Residential · Spartanburg, SC
Active · expires Jul 7, 2028
CLIA Number42D1001299
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorJackie Miller
Laboratory Phone(864) 573-7008
Laboratory LocationMiller Place Residential140 Cox Street, Spartanburg, SC 29306
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Miller Place Residential Care LLC's NPI number?

The NPI number for Miller Place Residential Care LLC is 1578188967. It was assigned to this organization in the NPPES registry on June 10, 2020. The provider is doing business as Miller Place Residential Care.

Where is Miller Place Residential Care LLC located?

Miller Place Residential Care LLC is located at 140 Cox St, Spartanburg, SC 29306. The listed phone number is (864) 573-7008.

What is Miller Place Residential Care LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Miller Place Residential Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1001299) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miller Place Residential Care LLC was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.