Organization Active NPI

Millennium Adult Foster Care, LLC

  • Adult Care Home Facility
  • Waltham, MA
National Provider Identifier
1922729144
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MILLENNIUM ADULT FOSTER CARE, LLC
Practice address
564 Main St Ste 203
Waltham, MA 02452-5559
Phone
(617) 686-3668
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Ruzan Gasparyan
Title
Owner
Phone
(617) 686-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

564 Main St Ste 203
Waltham, MA 02452-5559

Mailing address

564 Main St Ste 203
Waltham, MA 02452-5559
Phone (617) 686-3668

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N/A

National Provider Directory

National Provider Directory

Locations

564 Main St
Ste 203
Waltham, MA 02452
Phone (617) 686-3668

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1922729144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 MAIN ST STE 203",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525559",
            "telephone_number": "617-686-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MAIN ST STE 203",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525559",
            "telephone_number": "617-686-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM ADULT FOSTER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "RUZAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-686-3668"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "564 Main St Ste 203",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024525559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.