MILLENNIUM HOUSE 2 LLC NPI 1487174421

NPI Information

NPI: 1487174421
Provider Name: MILLENNIUM HOUSE 2, LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 10D1026705

Address:
8951 BONITA BEACH RD SE STE 297
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 992-5513
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MILLENNIUM HOUSE 2, LLC is an adult day care clinic center in Bonita Springs, FL. MILLENNIUM HOUSE 2, LLC NPI is 1487174421. The provider is registered as an organization entity type.

The provider's business location address is:

8951 BONITA BEACH RD SE STE 297
BONITA SPRINGS, FL
ZIP 34135-204
Phone: (239) 992-5513

The provider's authorized official is John Morano .
The authorized official title is Owner and has the following contact phone number (239) 878-4510.

The CLIA number assigned to this NPI record is 10D1026705 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 6/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	8985	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020344700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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