Organization Active NPI

Millies Paradise Homes Inc

  • Health Maintenance Organization
  • Vallejo, CA
National Provider Identifier
1114101292
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
010000301 Issued in CA
Legal business name
MILLIES PARADISE HOMES INC
Practice address
312 Doncaster Dr
Vallejo, CA 94590
Phone
(707) 554-4005
Fax
(707) 554-0604
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Mrs. Millie Ann Smith
Title
Owner
Phone
(707) 554-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 010000301 CA Primary

Addresses

Primary practice location

312 Doncaster Dr
Vallejo, CA 94590

Mailing address

1530 Solano Ave
Vallejo, CA 94590-5761
Phone (707) 554-4005

National Provider Directory

National Provider Directory

Locations

1530 Solano Ave
Vallejo, CA 94590

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1114101292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 SOLANO AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905761",
            "telephone_number": "707-554-4005",
            "fax_number": "707-554-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 DONCASTER DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94590",
            "telephone_number": "707-554-4005",
            "fax_number": "707-554-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIES PARADISE HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-554-4005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "010000301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.