Healthcare Provider Details

I. General information

NPI: 1992699284
Provider Name (Legal Business Name): MILLENIUM HEALTH CARE CENTERS II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

300 OLD HOOK RD
WESTWOOD NJ
07675-3122
US

IV. Provider business mailing address

173 BRIDGE PLZ N FL 6
FORT LEE NJ
07024-7575
US

V. Phone/Fax

Practice location:
  • Phone: 201-664-8888
  • Fax:
Mailing address:
  • Phone: 312-354-0255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: BRIAN WACHT
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 312-354-0255