Organization Active NPI

Millennial Healthcare Co

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1477260909
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MILLENNIAL HEALTHCARE CO
Practice address
4109 Clark Ave
Cleveland, OH 44109-1130
Phone
(216) 210-6997
NPI assigned
Nov 3, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Mercedes DossNPI 1669861365
Title
Director
Phone
(216) 210-6997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4109 Clark Ave
Cleveland, OH 44109-1130

Mailing address

4109 Clark Ave
Cleveland, OH 44109-1130
Phone (216) 210-6997

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1477260909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091130",
            "telephone_number": "216-210-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091130",
            "telephone_number": "216-210-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL HEALTHCARE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-210-6997"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.