Healthcare Provider Details

I. General information

NPI: 1710701347
Provider Name (Legal Business Name): MILLENNIUM HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHICK SPRINGS RD STE 207B
GREENVILLE SC
29609-4971
US

IV. Provider business mailing address

1 CHICK SPRINGS RD STE 207B
GREENVILLE SC
29609-4971
US

V. Phone/Fax

Practice location:
  • Phone: 864-283-0221
  • Fax:
Mailing address:
  • Phone: 864-367-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: LATOYA MCCOMBS- MARTIN
Title or Position: OWNER
Credential: APRN
Phone: 864-283-0221