Millennium Hospice Agency, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MILLENNIUM HOSPICE AGENCY, LLC

Practice address

25325 Borough Park Drive
Suite #108
Spring, TX 77380

Phone

(281) 681-4035

Fax

(281) 681-4036

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Felix Canabal

Title

Alt. Administrator

Phone

(281) 681-4035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741658

Legal name

MILLENNIUM HOSPICE AGENCY, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 20, 2016

Last certification

Sep 11, 2019

Ownership / control type

Proprietary - Other

Organization structure

PartnershipProprietary

Incorporated

May 27, 2015 in TX

Enrollment address

25325 Borough Park Dr
Ste 108
Spring, TX 77380-3569

Listed as

Millennium Hospice Agency LLCCCN 741658 · All quality measures

Ownership

For-Profit

Certified

Dec 20, 2016

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Millennium Physicians Association, PLLC

  dba Millennium Oncology

  • Multi-Specialty Clinic/Center
  • The Woodlands, TX
  • NPI 1255397733

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Francisco Juan Ortiz, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1174545461

  W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Angela Motton

  • Contractor
  • Houston, TX
  • NPI 1699584516
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mohsen Arani, MD

  • Hematology & Oncology Physician
  • The Woodlands, TX
  • NPI 1821097072

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1174996227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25325 BOROUGH PARK DRIVE",
            "address_2": "SUITE #108",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-681-4035",
            "fax_number": "281-681-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 BOROUGH PARK DRIVE",
            "address_2": "SUITE #108",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-681-4035",
            "fax_number": "281-681-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HOSPICE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "CANABAL",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "ALT. ADMINISTRATOR",
        "authorized_official_telephone_number": "281-681-4035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwan Milam-Reed, PHD., LCSW
• Haley Nicole Milbrodt, RBT
• Chabria Miles
• Jazmyn Miles
• Tiffany Elizabeth Miles, D.D.S.
• Alina Maria Miller, DDS
• Amanda Elaine Miller, O.T.R.
• Amanda Mashburn Miller, CCC-SLP
• Brandon Michael Miller, OT
• Cara Danielle Miller, FNP

• Community Based Hospice Care Agency in Spring, TX
• Providers in Spring, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.