Millennium House of Southwest Florida, Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

License

AD8985 Issued in FL

Legal business name

MILLENNIUM HOUSE OF SOUTHWEST FLORIDA, INC

Practice address

8951 Bonita Beach Rd SE
Suite 297
Bonita Springs, FL 34135-4201

Phone

(239) 992-5513

Fax

(239) 992-2238

NPI assigned

Jun 19, 2010

Organization subpart

No

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

Authorized official

Name

Cynthia Kay Ryerson, RN

Title

Administrator/Owner

Phone

(239) 992-5513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276905600000",
    "number": "1497076889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE",
            "address_2": "SUITE 297",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354201",
            "telephone_number": "239-992-5513",
            "fax_number": "239-992-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 BONITA BEACH RD SE",
            "address_2": "SUITE 297",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354201",
            "telephone_number": "239-992-5513",
            "fax_number": "239-992-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HOUSE OF SOUTHWEST FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-06-19",
        "status": "A",
        "authorized_official_last_name": "RYERSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "239-992-5513",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AD8985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie May Michal, PHARMD
• Michelle Amendola SLP, LLC
• Michelle Hogan NP Wellness Consultant LLC
• Ann M Mihalko, D.M.D.
• Millennium House 2, LLC
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Joel Scott Miller, DC
• Shawn B Miller, MD
• Kendall Millman, RBT

• All providers in Bonita Springs, FL
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2010; 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.