Active NPI
Thomas Milless
- Home Modifications Contractor
- Albertville, MN
National Provider Identifier
1205714490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- BC645424
- Practice address
- 6627 E Laketowne Dr
Albertville, MN 55301 - Phone
- (763) 238-8202
- NPI assigned
- Aug 25, 2025
- Last updated
- Aug 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | BC645424 | MN | Primary |
Addresses
Primary practice location
6627 E Laketowne Dr
Albertville, MN 55301
Mailing address
6627 E Laketowne Dr
Albertville, MN 55301
Phone (763) 238-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BC645424 | MN | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1205714490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6627 E LAKETOWNE DR",
"city": "ALBERTVILLE",
"state": "MN",
"postal_code": "55301",
"telephone_number": "763-238-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6627 E LAKETOWNE DR",
"city": "ALBERTVILLE",
"state": "MN",
"postal_code": "55301",
"telephone_number": "763-238-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLESS",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "MN",
"license": "BC645424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albertville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.