MILLENNIUM RESIDENTIAL INC. (NPI# 1558833368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558833368 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM RESIDENTIAL INC. |
| Practice Address |
1709 Holaview Road Dundalk MD 21222 |
| Practice Telephone | 4435311988 |
| Mailing Telephone | 4435311988 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | MICHELLE BLACKSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4435311988 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1709 HOLAVIEW ROAD |
| City | DUNDALK |
| State | MD |
| Zip Code | 21222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| 1881092971 | Jaimie Lynn Johnston | Registered Nurse | 7819 Meath Rd, Baltimore, MD 21222 | 2014-12-05 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570605 | Bright Healthcare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9604 Byward Blvd, Bowie, MD 20721-1893 | 2020-08-28 |
| 1770108268 | Sowbah Healthcare Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 625 Sheridan St Apt 33, Hyattsville, MD 20783-3214 | 2020-06-10 |
| 1558981548 | Gabby Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11811 Point Way, Bowie, MD 20720-3419 | 2020-04-20 |
| 1285253211 | Blessing Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12008 Maycheck Ln, Bowie, MD 20715-1551 | 2020-04-09 |
| 1225660970 | Steadfast Care Services,llc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5303 Kingsbrook Dr, Frederick, MD 21703-2806 | 2020-02-11 |
| 1144862186 | Surehealth Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2800 Klein Ct, Crofton, MD 21114-3118 | 2019-10-10 |
| 1568017358 | Beland Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12620 Hillmeade Station Dr, Bowie, MD 20720-3311 | 2019-08-07 |
| 1477108785 | Panatechs LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14115 Porringer Ct, Burtonsville, MD 20866-2062 | 2019-08-04 |
| 1619532140 | Arising Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12808 Penny Ln, Silver Spring, MD 20904-7111 | 2019-05-09 |
| 1619533155 | Blessed Assurance Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9040 Stebbing Way Apt K, Laurel, MD 20723-5947 | 2019-05-09 |
| Find all providers with the same taxonomy | ||||
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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.