MILL CREEK MANOR, LLC
NPI 1689239923
Assisted Living Facility in Statesville, NC
About Mill Creek Manor, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILL CREEK MANOR, LLC (NPI 1689239923) is a healthcare organization registered as an assisted living facility in Statesville, North Carolina and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists John Miller, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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 34D2202873
Mill Creek Manor · Statesville, NCOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mill Creek Manor, LLC's NPI number?
The NPI number for Mill Creek Manor, LLC is 1689239923. It was assigned to this organization in the NPPES registry on May 2, 2019.
Where is Mill Creek Manor, LLC located?
Mill Creek Manor, LLC is located at 1902 Ora Dr, Statesville, NC 28625. The listed phone number is (704) 878-0879.
What is Mill Creek Manor, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Mill Creek Manor, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2202873) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mill Creek Manor, LLC was last updated on May 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
