- Enrollment id
- O20090407000201
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1225085806
- Multiple npi flag
- N
- Ccn
- 747813
- Associate id
- 2264589365
- Organization name
- MILLENNIUM HEALTH SERVICES INC.
- Doing business as name
- MILLENNIUM HOME HEALTH SERVICES
- Incorporation date
- 2012-07-05
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 830 JULIE RIVERS DR
- Address line 2
- STE 103
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774782877
- Practice location type
- HHA BRANCH