Organization Active NPI

Millennial Personal Care Service, LLC

  • In Home Supportive Care Agency
  • Houston, TX
National Provider Identifier
1770986077
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
017543 Issued in TX
Legal business name
MILLENNIAL PERSONAL CARE SERVICE, LLC
Practice address
1717 Saint James PL
Suite 625
Houston, TX 77056-3404
Phone
(662) 491-8889
NPI assigned
Sep 30, 2014
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Ms. Cheronda Lynn Rutherford, MSW
Title
Alternate Administrator
Phone
(662) 491-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 017543 TX Primary

Addresses

Primary practice location

1717 Saint James PL
Suite 625
Houston, TX 77056-3404

Mailing address

1717 Saint James PL
Suite 625
Houston, TX 77056-3404
Phone (662) 491-8889

National Provider Directory

National Provider Directory

Locations

1717 Saint James Pl
Ste 625
Houston, TX 77056
Phone (662) 491-8889

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1770986077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SAINT JAMES PL",
            "address_2": "SUITE 625",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563404",
            "telephone_number": "662-491-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SAINT JAMES PL",
            "address_2": "SUITE 625",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563404",
            "telephone_number": "662-491-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL PERSONAL CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "CHERONDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "662-491-8889",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "017543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.