NPIMap

Organization Active NPI

Millennium Residential Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Towson, MD
National Provider Identifier
1558833368
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MILLENNIUM RESIDENTIAL INC.
Practice address
8501 Lasalle Rd
Suite 212
Towson, MD 21286
Phone
(443) 409-3677
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Tenicia Washington, CRNPNPI 1639691447
Title
Executive Director
Phone
(443) 531-1988

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
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

8501 Lasalle Rd
Suite 212
Towson, MD 21286

Mailing address

744 Dulaney Valley Rd Ste 15
Towson, MD 21204-5132
Phone (443) 531-1988

Other practice location 1

11535 Carmel Commons Blvd Ste 102
Charlotte, NC 28226-5314
Phone (704) 910-1788

National Provider Directory

National Provider Directory
Tax ID family
Millennium2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1709 Holaview Rd
Dundalk, MD 21222
Phone (443) 384-7927

744 Dulaney Valley Rd
Ste 15
Towson, MD 21204
Phone (301) 910-1976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1558833368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 DULANEY VALLEY RD STE 15",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045132",
            "telephone_number": "443-531-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 LASALLE RD",
            "address_2": "SUITE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "443-409-3677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11535 Carmel Commons Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282265314",
            "country_code": "US",
            "telephone_number": "704-910-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLENNIUM RESIDENTIAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "TENICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-531-1988",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.