Provider Demographics
NPI:1972723468
Name:NEW MILLENNIUM HEALTH CARE
Entity Type:Organization
Organization Name:NEW MILLENNIUM HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ARNDT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-780-9933
Mailing Address - Street 1:7931 6TH ST NE
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55432-1815
Mailing Address - Country:US
Mailing Address - Phone:763-780-9933
Mailing Address - Fax:763-795-8878
Practice Address - Street 1:7931 6TH ST NE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE PARK
Practice Address - State:MN
Practice Address - Zip Code:55432-1815
Practice Address - Country:US
Practice Address - Phone:763-780-9933
Practice Address - Fax:763-795-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN21361OtherHEALTH FACILITY ID NUMBER