Millennium Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MILLENNIUM HOSPICE, INC.

Practice address

12129 E. Skelly Dr.
Tulsa, OK 74128-2410

Phone

(918) 493-6555

Fax

(918) 488-8825

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David M. Randall

Title

President

Phone

(918) 493-6555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Hospice certification: CCN 371709

Legal name

MILLENNIUM HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 6, 2014

Last certification

Dec 15, 2020

Ownership / control type

Proprietary - Individual

Organization structure

CorporationProprietary

Incorporated

Apr 20, 2012 in OK

Enrollment address

12129 E Skelly Dr
Tulsa, OK 74128-2410

Listed as

Millennium Hospice, IncCCN 371709

Ownership

For-Profit

Certified

Jun 6, 2014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Khalid Saad Aly, MD

  • Internal Medicine Physician
  • Pryor, OK
  • NPI 1952334955

  Hospice

  Care Compare affiliation
• Bradley Todd Anderson, DO

  • Family Medicine Physician
  • Coweta, OK
  • NPI 1023058757

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1962761833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12129 E. SKELLY DR.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741282410",
            "telephone_number": "918-493-6555",
            "fax_number": "918-488-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12129 E. SKELLY DR.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741282410",
            "telephone_number": "918-493-6555",
            "fax_number": "918-488-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-493-6555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Ann Miley, M.S.W.
• Cynthia Lyn Milford, M.S., ED.S.
• James Stuart Millar, MD
• Alexandra Millard
• Millennium Home Health Care, Inc.
• Miller Health and Wellness Inc
• Andrea Miller Lister
• Judie Kathleen Miller-Aziere
• Joy Miller-Davis, LCSW
• Amanda Marie Miller-Hoffman

• All providers in Tulsa, OK
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.