Millenium Pro, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000900 Issued in CA

Legal business name

MILLENIUM PRO, INC.

Doing business as

Mobile Nursing Care Extended Care Agency

Practice address

3435 Wilshire Blvd Ste 2890
Los Angeles, CA 90010-1938

Phone

(213) 480-6211

Fax

(213) 480-6216

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Veerpal Brar

Title

President

Phone

(818) 612-0248

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mobile Nursing Care Extended Care Agency Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Home health agency certification: CCN 05K041

Legal name

Mobile Nursing Extended Care Agency, Inc

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 7, 1995

Last certification

Nov 5, 2017

Ownership / control type

Proprietary

Facility address

3435 Wilshire Blvd. Suite 2890
Los Angeles, CA 90010

Locations

Practitioners 1

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

• Sandra H Pollonais, R,N

  • Registered Nurse
  • Aberdeen, NJ
  • NPI 1396924247
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1295810166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 WILSHIRE BLVD STE 2890",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101938",
            "telephone_number": "213-480-6211",
            "fax_number": "213-480-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 WILSHIRE BLVD STE 2890",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101938",
            "telephone_number": "213-480-6211",
            "fax_number": "213-480-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM PRO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "VEERPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-612-0248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER #",
            "identifier": "70270G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Nursing Care Extended Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile Nursing Care Extended Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesus David Millan Baez
• Christopher Angel Millan Jr.
• Jessica Amaris Millan
• Misha Millan
• Sade Millare
• Millennia Healthcare Corp.
• Millennium Health Services
• Millennium Home Health Care Services Inc
• Miller Integrative Physical Therapy Inc
• Somalia Miller Salmond, APCC

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.