Millenium Manor, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

3102 Issued in WI

Legal business name

MILLENIUM MANOR, LLC

Doing business as

The Manor

Practice address

4509 Arthur Rd
Slinger, WI 53086-9603

Phone

(414) 930-1931

NPI assigned

Nov 25, 2015

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Aber Hollander

Title

President

Phone

(414) 930-1920

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1043684251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123605",
            "telephone_number": "312-860-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 ARTHUR RD",
            "city": "SLINGER",
            "state": "WI",
            "postal_code": "530869603",
            "telephone_number": "414-930-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "ABER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-930-1920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "3102",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Malchow, PTA
• Francesca Malensek
• Lisa Claire McCoach, PHARMD
• Ashley McGuire, OTR
• Jennifer McKean, LAT, ATC. PES
• Jennifer Gail Miller, LPN
• Elizabeth Jane Muellenbach, P.T.
• Danielle C. Muhr, R.D.N.
• Diane M. Nelson
• Makaylee Nimmer

• Substance Abuse Rehabilitation Facility in Slinger, WI
• Providers in Slinger, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.