Active NPI
Millennium Healthcare LLC
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1730867193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MILLENNIUM HEALTHCARE LLC
- Practice address
- 920 W Owens Ave Ste B
Las Vegas, NV 89106-2516 - Phone
- (702) 659-6910
- Fax
- (702) 659-6921
- NPI assigned
- Jul 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Africa N Releford
- Title
- Owner
- Phone
- (702) 768-1005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
920 W Owens Ave Ste B
Las Vegas, NV 89106-2516
Mailing address
920 W Owens Ave Ste B
Las Vegas, NV 89106-2516
Phone (702) 768-1005
Other names 1
- GLC WELLNESS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
920 W Owens Ave
Ste B
Las Vegas, NV 89106
Phone (702) 205-0428
955 W Craig Rd
Ste 107H
North Las Vegas, NV 89032
Phone (702) 205-0428
955 W Craig Rd
Ste 207
North Las Vegas, NV 89032
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- North Las Vegas, NV
- NPI 1558872986
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1730294455
-
- General Practice Physician
- Las Vegas, NV
- NPI 1962180372
-
- Case Manager/Care Coordinator
- Las Vegas, NV
- NPI 1144068735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1730867193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 W OWENS AVE STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062516",
"telephone_number": "702-768-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W OWENS AVE STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062516",
"telephone_number": "702-659-6910",
"fax_number": "702-659-6921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-06",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "RELEFORD",
"authorized_official_first_name": "AFRICA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-768-1005",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GLC WELLNESS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GLC WELLNESS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.