Active NPI
Millennium Home Health Care LLC
- Home Health Agency
- Alexandria, VA
National Provider Identifier
1043640360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-14982
- Legal business name
- MILLENNIUM HOME HEALTH CARE LLC
- Practice address
- 4810 Beauregard St
Suite 325
Alexandria, VA 22312-1709 - Phone
- (703) 941-8412
- NPI assigned
- Nov 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Muluembet Fisseha
- Title
- Administrator
- Phone
- (703) 862-8447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCO-14982 | VA | Primary |
Addresses
Primary practice location
4810 Beauregard St
Suite 325
Alexandria, VA 22312-1709
Mailing address
4810 Beauregard St
Suite 325
Alexandria, VA 22312-1709
Phone (703) 941-8412
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0171824805 | Medicaid | VA | |
| 0171830612 | Medicaid | VA | |
| 0171836569 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
4810 Beauregard St
Ste 325
Alexandria, VA 22312
Phone (703) 941-8412
4200 Evergreen Ln
Ste 312
Annandale, VA 22003
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1013185206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441670400000",
"number": "1043640360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 BEAUREGARD ST",
"address_2": "SUITE 325",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121709",
"telephone_number": "703-941-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 BEAUREGARD ST",
"address_2": "SUITE 325",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121709",
"telephone_number": "703-941-8412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-22",
"last_updated": "2015-09-08",
"status": "A",
"authorized_official_last_name": "FISSEHA",
"authorized_official_first_name": "MULUEMBET",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "703-862-8447",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-14982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0171824805",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0171830612",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0171836569",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.