Provider Demographics
NPI:1023113388
Name:MILLENNIUM COMFORT HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:MILLENNIUM COMFORT HOME HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-1500
Mailing Address - Street 1:3912 N JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6043
Mailing Address - Country:US
Mailing Address - Phone:956-583-1500
Mailing Address - Fax:956-583-8865
Practice Address - Street 1:1431 W POLK AVE STE 111
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-2122
Practice Address - Country:US
Practice Address - Phone:956-583-1500
Practice Address - Fax:956-583-8865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190823801Medicaid
679681OtherMEDICARE