MILLENNIUM MEDICAL GROUP (NPI# 1417585910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417585910 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM MEDICAL GROUP |
| Practice Address |
2420 E 29th St Lorain OH 44055 |
| Practice Telephone | 4406545565 |
| Mailing Telephone | 4406545565 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | KEISHLA M PEREZ RODRIGUEZ (CEO) |
| Authorized Official Telephone | 4406545565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Esperanza Home Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700914686 | Millennium Medical Group | Specialist | 38807 Ann Arbor Rd Ste 7, Livonia, MI 48150-3896 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MILLENNIUM MEDICAL GROUP, P.C. | 93-20a Roosevelt Ave, 2nd,Fl., Jackson Heights, New York 11372 |
| Street Address |
2420 E 29TH ST |
| City | LORAIN |
| State | OH |
| Zip Code | 44055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871076356 | Elba Padua | Home Health | 1943 E 32nd St, Lorain, OH 44055 | 2018-09-11 |
| 1811475494 | Michael Anthony Spataro | Licensed Practical Nurse | 3226 Oakdale Ave, Lorain, OH 44055 | 2018-08-05 |
| 1942617030 | Ohio Guidestone | Community/Behavioral Health | 2173 North Ridge Road, Suite E, Lorain, OH 44055 | 2014-07-21 |
| 1750648259 | Jamie M Mcghee | Licensed Practical Nurse | 2238 E 34th St, Lorain, OH 44055 | 2012-04-20 |
| 1669771747 | J. Christopher Cuda | Social Worker | 1865 N Ridge Rd E Ste D, Lorain, OH 44055 | 2011-03-15 |
| 1093989477 | Norberto L Juan | Family Medicine | 3745 Grove Ave., Lorain, OH 44055 | 2008-04-16 |
| 1295223907 | Ashley Bowers | Social Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055 | 2018-04-27 |
| 1629529367 | Laura Reed | Social Worker | 1882 E 32nd St, Lorain, OH 44055 | 2016-10-18 |
| 1609226067 | Kimberly R H Krzemienieswki | Social Worker | 2173 N Ridge Rd E, Suite E, Lorain, OH 44055 | 2016-06-16 |
| 1982030219 | Tasha Ford | Counselor | 2173 N Ridge Rd E, Lorain, OH 44055 | 2013-09-18 |
| Find all providers in zip 44055 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188692 | Shannon Hamlin | Home Health | 3899 Dunton Rd, Lorain, OH 44055-2441 | 2020-09-15 |
| 1881253045 | Keisha Taylor | Home Health | 1215 W 22nd St, Lorain, OH 44052-4513 | 2019-06-11 |
| 1407413826 | Agape Assisted Living LLC | Home Health | 4000 Seneca Ave, Lorain, OH 44055-2631 | 2019-05-21 |
| 1265996839 | Mary Deanna Williams | Home Health | 210 W 18th St, Lorain, OH 44052-3712 | 2019-01-28 |
| 1104397397 | Extended Grace Home Care Services LLC | Home Health | 1905 N Ridge Rd E Ste D, Lorain, OH 44055-3344 | 2018-12-16 |
| 1205302106 | Aurora | Home Health | 600 Broadway Ave, Lorain, OH 44052 | 2018-10-17 |
| 1871076356 | Elba Padua | Home Health | 1943 E 32nd St, Lorain, OH 44055 | 2018-09-11 |
| 1205207511 | N/a | Home Health | 3051 Elyria Ave, Lorain, OH 44055-1449 | 2015-10-13 |
| 1053750026 | Maxim Healthcare Services, Inc. | Home Health | 1311 W 33rd St, Lorain, OH 44053-2703 | 2013-06-22 |
| 1730527789 | After Hour Home Care Service | Home Health | 3228 Fulton Rd, Lorain, OH 44055-1619 | 2013-06-12 |
| Find all providers in LORAIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.