Organization Active NPI

Millren Enterprise, LLC

  • Transportation Network Company
  • Jonesboro, GA
National Provider Identifier
1477338606
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
MILLREN ENTERPRISE, LLC
Practice address
9249 Willow Tree CT
Jonesboro, GA 30238-5204
Phone
(678) 479-2502
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Mr. Delon P Coombs
Title
President/Ceo
Phone
(678) 479-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary

Addresses

Primary practice location

9249 Willow Tree CT
Jonesboro, GA 30238-5204

Mailing address

9249 Willow Tree CT
Jonesboro, GA 30238-5204
Phone (678) 479-2502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1477338606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 WILLOW TREE CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385204",
            "telephone_number": "678-479-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9249 WILLOW TREE CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385204",
            "telephone_number": "678-479-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLREN ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-27",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "DELON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "678-479-2502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.