Millennium Residential Home Inc.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

MILLENNIUM RESIDENTIAL HOME INC.

Practice address

10325 W San Juan Ave
Glendale, AZ 85307-4310

Phone

(623) 418-2266

Fax

(623) 218-1520

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Timiadi EdogiNPI 1942667332

Title

Administrator

Phone

(623) 418-2266

Specialties & licenses 1

Addresses

Practitioners 1

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

• Timiadi Edogi

  • School Social Worker
  • Glendale, AZ
  • NPI 1942667332
  NPD Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1720579022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 W SAN JUAN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853074310",
            "telephone_number": "623-418-2266",
            "fax_number": "623-218-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 W SAN JUAN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853074310",
            "telephone_number": "623-418-2266",
            "fax_number": "623-218-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM RESIDENTIAL HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "EDOGI",
        "authorized_official_first_name": "TIMIADI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-418-2266"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Christine Miglio
• Angelita Miguel
• Fady Fawzy Naguib Mikhael, MD
• Milesbrook, LLC (Senior Helpers of Glendale)
• Milestone Recovery Transitional Living
• Allison Duckett Miller, MOTR/L
• Arthur N Miller, MD
• Ashley Munro Miller
• Breanne Miller, M.S. CF-SLP
• Bryan Joseph Miller, PMHNP-BC

• Assisted Living Facility (Behavioral Disturbances) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.