Organization Active NPI

Millennium Residential Inc.

  • Multi-Specialty Clinic/Center
  • Towson, MD
National Provider Identifier
1902666845
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MILLENNIUM RESIDENTIAL INC.
Doing business as
Millennium
Practice address
8501 Lasalle Rd, Suite 212
Towson, MD 21286
Phone
(443) 409-3677
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Tenicia S WashingtonNPI 1639691447
Title
Executive Director
Phone
(443) 409-3677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8501 Lasalle Rd, Suite 212
Towson, MD 21286

Mailing address

848 Kathy Dianne Dr
Indian Land, SC 29707-6898
Phone (443) 531-1988

Other names 1

  • Millennium Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Millennium2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1902666845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 KATHY DIANNE DR",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076898",
            "telephone_number": "443-531-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 LASALLE RD, SUITE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "443-409-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM RESIDENTIAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "TENICIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-409-3677"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millennium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.