Mils Minnesota Independent Living Services, Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

636054900 Issued in MN

Legal business name

MILS MINNESOTA INDEPENDENT LIVING SERVICES, INC

Practice address

2520 Broadway St NE
Suite 205
Minneapolis, MN 55413-1962

Phone

(612) 379-4027

Fax

(612) 379-3489

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Nicole Lee Reid

Title

Administrator

Phone

(612) 379-4027

Specialties & licenses 2

Addresses

Tax ID family

Mils Health Care Products2 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.

• Mils Health Care Products

  • Durable Medical Equipment & Medical Supplies
  • Minneapolis, MN
  • NPI 1295871473
  NPD tax ID

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1598863615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 BROADWAY ST NE",
            "address_2": "SUITE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131962",
            "telephone_number": "612-379-4027",
            "fax_number": "612-379-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 BROADWAY ST NE",
            "address_2": "SUITE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131962",
            "telephone_number": "612-379-4027",
            "fax_number": "612-379-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILS MINNESOTA INDEPENDENT LIVING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-379-4027"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MN",
            "license": "636054900",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Millsap Rasmussen
• Anna Maria Blem Milner, CNP
• Sherilyn Ardis Milner, APRN, BC
• Anna Milone, PHARM.D.
• Mils Health Care Products
• Nancy Milsow, OTR, L
• Anna Milton
• Milton's Rose
• Mimi X Ayaah LLC
• Reid Kenneth Mimmack, MD

• Custodial Care Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Custodial Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.