Organization Active NPI

Millennium Therapy and Consulting Group

  • Skilled Nursing Facility
  • Des Moines, IA
National Provider Identifier
1851553499
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
004072 Issued in IA
Legal business name
MILLENNIUM THERAPY AND CONSULTING GROUP
Practice address
4725 Merle Hay Rd Ste 107
Des Moines, IA 50322-1983
Phone
(515) 331-3190
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Robert J Hentzen, MBA, PT
Title
Ceo, PT
Phone
(515) 331-3190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 004072 IA Primary

Addresses

Primary practice location

4725 Merle Hay Rd Ste 107
Des Moines, IA 50322-1983

Mailing address

4725 Merle Hay Rd Ste 107
Des Moines, IA 50322-1983
Phone (515) 331-3190

National Provider Directory

National Provider Directory
Tax ID family
Millennium Therapy and Consulting Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1851553499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD STE 107",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983",
            "telephone_number": "515-331-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD STE 107",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983",
            "telephone_number": "515-331-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM THERAPY AND CONSULTING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HENTZEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO, PT",
        "authorized_official_telephone_number": "515-331-3190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, PT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "004072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.