Milestone Development Center Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MILESTONE DEVELOPMENT CENTER INC

Practice address

1503 W Broadway Ave
Minneapolis, MN 55411

Phone

(612) 913-2553

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Nafiso Ahmed

Title

President

Phone

(612) 913-2553

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nimco Abdirashid Ahmed

  • Behavior Analyst
  • Minneapolis, MN
  • NPI 1053198317
  NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1134721129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 14TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071126",
            "telephone_number": "612-913-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55411",
            "telephone_number": "612-913-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE DEVELOPMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NAFISO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-913-2553"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin John Miles, MD
• Kenneth Miles
• Lisa Ann Miles, CNP
• Steven Haverstock Miles, MD
• Milestone Academy LLC
• Milestone Health Services Inc
• Kathleen Miley, PMHNP
• Timothy G Miley, MD
• Wilda Milhomme, APRN
• Kellie Jo Milich, PHARM D

• Early Intervention Provider Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.