NPIMap

Organization Active NPI

Millennium Treatment Services, LLC

  • Methadone Clinic
  • Madison Heights, MI
National Provider Identifier
1861673196
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
6801089285 Issued in MI
Legal business name
MILLENNIUM TREATMENT SERVICES, LLC
Practice address
1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
Phone
(248) 547-2223
Fax
(248) 547-2226
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Sherry L Hambly
Title
Director of Finances
Phone
(248) 547-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 6801089285 MI Primary

Addresses

Primary practice location

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651

Mailing address

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
Phone (248) 547-2223

Other identifiers 1

IdentifierTypeStateIssuer
631090MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Millennium Treatment Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1861673196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712651",
            "telephone_number": "248-547-2223",
            "fax_number": "248-547-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712651",
            "telephone_number": "248-547-2223",
            "fax_number": "248-547-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "HAMBLY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCES",
        "authorized_official_telephone_number": "248-547-2223"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "6801089285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.