Active NPI
Millennium Home Adult Day Healthcare
- Adult Day Care Clinic/Center
- Westford, MA
National Provider Identifier
1326690074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- MILLENNIUM HOME ADULT DAY HEALTHCARE
- Practice address
- 5 Lyberty Way
Westford, MA 01886-3617 - Phone
- (323) 854-0678
- NPI assigned
- Jul 12, 2019
- 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. Inna Proshak
- Title
- Corporate Officer
- Phone
- (323) 854-0678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
5 Lyberty Way
Westford, MA 01886-3617
Mailing address
5 Lyberty Way
Westford, MA 01886-3617
Phone (323) 854-0678
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2174323 | Millennium Home Adult Day Healthcare, Inc | Certificate of waiver | Oct 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
5 Lyberty Way
Westford, MA 01886
Phone (323) 854-0678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562889600000",
"number": "1326690074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LYBERTY WAY",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018863617",
"telephone_number": "323-854-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LYBERTY WAY",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018863617",
"telephone_number": "323-854-0678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM HOME ADULT DAY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-12",
"last_updated": "2019-07-12",
"status": "A",
"authorized_official_last_name": "PROSHAK",
"authorized_official_first_name": "INNA",
"authorized_official_title_or_position": "CORPORATE OFFICER",
"authorized_official_telephone_number": "323-854-0678",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.