OrganizationActive
Millernairclub, LLC
NPI 1497426613 · Mental Illness Community Based Residential Treatment Facility · Suffolk, VA
Provider details
- NPI number
- 1497426613
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sakara Ricks, Ceo(252) 370-5964
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Carriage House Dr
Suffolk, VA 23434-9219
Phone: (252) 370-5964
Street-level locationGet directions
Mailing address
100 Carriage House Dr
Suffolk, VA 23434-9219
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2021-09-27
- Certified
- 2021-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.