Provider Demographics
NPI:1205864972
Name:NEW MILLENIUM HOME HEALTH
Entity Type:Organization
Organization Name:NEW MILLENIUM HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YAW
Authorized Official - Middle Name:OWUSU
Authorized Official - Last Name:AGYEKUM
Authorized Official - Suffix:
Authorized Official - Credentials:RN, RCP, CRT
Authorized Official - Phone:614-882-7782
Mailing Address - Street 1:2700 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4094
Mailing Address - Country:US
Mailing Address - Phone:614-882-7782
Mailing Address - Fax:614-882-7783
Practice Address - Street 1:2700 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4094
Practice Address - Country:US
Practice Address - Phone:614-882-7782
Practice Address - Fax:614-882-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH03820251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2601634Medicaid
OH2601634Medicaid