Active NPI
Millennium Optimum Care, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Jackson, MI
National Provider Identifier
1235462193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- MILLENNIUM OPTIMUM CARE, LLC
- Practice address
- 603 Lansing Avenue
Jackson, MI 49202-3209 - Phone
- (517) 787-8371
- Fax
- (517) 787-2639
- NPI assigned
- Sep 10, 2009
- 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
- David O Bankole, MD
- Title
- President
- Phone
- (517) 787-8371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
603 Lansing Avenue
Jackson, MI 49202-3209
Mailing address
603 Lansing Avenue
Jackson, MI 49202-3209
Phone (517) 787-8371
National Provider Directory
National Provider DirectoryLocations
603 Lansing Ave
Jackson, MI 49202
Phone (517) 787-8371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252540800000",
"number": "1235462193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LANSING AVENUE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023209",
"telephone_number": "517-787-8371",
"fax_number": "517-787-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 LANSING AVENUE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023209",
"telephone_number": "517-787-8371",
"fax_number": "517-787-2639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM OPTIMUM CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A",
"authorized_official_last_name": "BANKOLE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-787-8371",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.