Organization Active NPI

Millennium Home Adult Day Healthcare

  • Adult Day Care Clinic/Center
  • Westford, MA
National Provider Identifier
1326690074
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Jul 12, 2019

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2174323Millennium Home Adult Day Healthcare, Inc5 Lyberty Way, Westford, MA 01886Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.