Healthcare Provider Details

I. General information

NPI: 1427856798
Provider Name (Legal Business Name): NEW MILLENNIUM HELPING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W 61ST ST
LOS ANGELES CA
90003-1403
US

IV. Provider business mailing address

4040 MANHATTAN BEACH BLVD APT A
LAWNDALE CA
90260-2238
US

V. Phone/Fax

Practice location:
  • Phone: 310-386-9243
  • Fax:
Mailing address:
  • Phone: 310-386-9243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PORSHA SHUNAE BOYD
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 310-386-9243