Provider Demographics
NPI:1255962411
Name:MILLENIA LLC
Entity type:Organization
Organization Name:MILLENIA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHUKWUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:UCHEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-223-2042
Mailing Address - Street 1:752 N MAIN ST UNIT 128
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3241
Mailing Address - Country:US
Mailing Address - Phone:214-223-2042
Mailing Address - Fax:
Practice Address - Street 1:9450 SKILLMAN ST STE 105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-8235
Practice Address - Country:US
Practice Address - Phone:214-223-2042
Practice Address - Fax:469-533-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty