Healthcare Provider Details

I. General information

NPI: 1487487799
Provider Name (Legal Business Name): MILL RUN CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3399 MILL RUN DR
HILLARD OH
43026
US

IV. Provider business mailing address

3399 MILL RUN DR
HILLIARD OH
43026-9078
US

V. Phone/Fax

Practice location:
  • Phone: 614-527-3000
  • Fax:
Mailing address:
  • Phone: 614-527-3000
  • Fax: 614-527-7199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SCOTT VAN DE WATER
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-527-3000