Provider Demographics
NPI:1497029847
Name:MILLBROOK HOMES LLC
Entity Type:Organization
Organization Name:MILLBROOK HOMES LLC
Other - Org Name:MILLBROOK HOMES PORTLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-220-7989
Mailing Address - Street 1:5650 DTC PKWY
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3003
Mailing Address - Country:US
Mailing Address - Phone:303-220-7989
Mailing Address - Fax:303-220-0380
Practice Address - Street 1:6731 W PORTLAND PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-4544
Practice Address - Country:US
Practice Address - Phone:303-220-7989
Practice Address - Fax:303-220-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility