Provider Demographics
NPI:1568148773
Name:MILESTONE CAREGIVING SERVICES, LLC
Entity Type:Organization
Organization Name:MILESTONE CAREGIVING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBA
Authorized Official - Middle Name:CHAMPAGNE
Authorized Official - Last Name:DOWDY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:816-714-8178
Mailing Address - Street 1:2780 SW 12TH TER
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-3706
Mailing Address - Country:US
Mailing Address - Phone:816-714-8178
Mailing Address - Fax:
Practice Address - Street 1:2780 SW 12TH TER
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-3706
Practice Address - Country:US
Practice Address - Phone:816-714-8178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care