Provider Demographics
NPI:1407231186
Name:MILLENIUM HOME HEALTH CARE
Entity Type:Organization
Organization Name:MILLENIUM HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-451-8403
Mailing Address - Street 1:116 1/2 SOUTH ST W
Mailing Address - Street 2:
Mailing Address - City:NORWOOD YOUNG AMERICA
Mailing Address - State:MN
Mailing Address - Zip Code:55368-4526
Mailing Address - Country:US
Mailing Address - Phone:952-451-8403
Mailing Address - Fax:
Practice Address - Street 1:116 1/2 SOUTH ST W
Practice Address - Street 2:
Practice Address - City:NORWOOD YOUNG AMERICA
Practice Address - State:MN
Practice Address - Zip Code:55368-4526
Practice Address - Country:US
Practice Address - Phone:952-451-8403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health