Organization Active NPI

Millie Lou Enterprises, LLC

  • In Home Supportive Care Agency
  • Enfield, CT
National Provider Identifier
1891935896
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCA.0000154 Issued in CT
Legal business name
MILLIE LOU ENTERPRISES, LLC
Practice address
585 Hazard Ave
Enfield, CT 06082-4241
Phone
(860) 749-0428
Fax
(860) 749-3494
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Mr. Nicholas Miller
Title
Owner
Phone
(860) 749-0428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCA.0000154 CT Primary

Addresses

Primary practice location

585 Hazard Ave
Enfield, CT 06082-4241

Mailing address

585 Hazard Ave
Enfield, CT 06082-4241
Phone (860) 749-0428

Other identifiers 1

IdentifierTypeStateIssuer
HCA.0000154OtherCTHOMEMAKER-COMPANION AGENCY

Other names 1

  • Comfort Keepers 554 Doing business as

National Provider Directory

National Provider Directory

Locations

585 Hazard Ave
Enfield, CT 06082
Phone (860) 416-7422

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1891935896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824241",
            "telephone_number": "860-749-0428",
            "fax_number": "860-749-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824241",
            "telephone_number": "860-749-0428",
            "fax_number": "860-749-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIE LOU ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-749-0428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CT",
            "license": "HCA.0000154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER-COMPANION AGENCY",
            "identifier": "HCA.0000154",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers 554",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.