Active NPI
Millenium Nursing Agency LTD
- Home Health Agency
- Cincinnati, OH
National Provider Identifier
1235278953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MILLENIUM NURSING AGENCY LTD
- Practice address
- 130 Tri County Pkwy Ste 215
Cincinnati, OH 45246-3235 - Phone
- (513) 825-9080
- Fax
- (513) 825-1153
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anne O Efeurhobo, RN
- Title
- C.E.O
- Phone
- (513) 825-9080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
130 Tri County Pkwy Ste 215
Cincinnati, OH 45246-3235
Mailing address
130 Tri County Pkwy Ste 215
Cincinnati, OH 45246-3235
Phone (513) 825-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235278953 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080415000031 | OH | Part A Provider - Home Health Agency | 2365529443 | Practice locations: Cincinnati, OH |
Home health agency certification: CCN 369018
- Legal name
- MILLENIUM NURSING AGENCY LTD
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 6, 2013
- Last certification
- Nov 1, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jul 16, 2003 in OH
- Enrollment address
- 130 Tri County Parkway
Suite 215
Cincinnati, OH 45246-3289
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Millenium Nursing Agency, LTD
- Ownership
- Proprietary
- Certified
- May 6, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Millenium Nursing Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Cincinnati, OH
- NPI 1124376439
Locations
260 Northland Blvd
Ste 230
Cincinnati, OH 45246
Phone (513) 825-9080
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Anne Efeurhobo | 5% Or Greater Direct Ownership Interest | Mar 13, 2008 | |
| Corporate Director | Mar 13, 2008 | ||
| W-2 Managing Employee | Mar 13, 2008 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547164800000",
"number": "1235278953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TRI COUNTY PKWY STE 215",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463235",
"telephone_number": "513-825-9080",
"fax_number": "513-825-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 TRI COUNTY PKWY STE 215",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463235",
"telephone_number": "513-825-9080",
"fax_number": "513-825-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENIUM NURSING AGENCY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2019-01-11",
"status": "A",
"authorized_official_last_name": "EFEURHOBO",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "513-825-9080",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235278953",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.