Provider Demographics
NPI:1467069922
Name:MILLENNIUM HOME HEALTH INC
Entity Type:Organization
Organization Name:MILLENNIUM HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REZA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-468-3928
Mailing Address - Street 1:28863 INDUSTRY DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5419
Mailing Address - Country:US
Mailing Address - Phone:818-468-3928
Mailing Address - Fax:
Practice Address - Street 1:28863 INDUSTRY DR UNIT A
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5419
Practice Address - Country:US
Practice Address - Phone:818-468-3928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health