Healthcare Provider Details

I. General information

NPI: 1225085806
Provider Name (Legal Business Name): MILLENNIUM HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 JULIE RIVERS DR STE 103
SUGAR LAND TX
77478-2877
US

IV. Provider business mailing address

830 JULIE RIVERS DR STE 103
SUGAR LAND TX
77478-2877
US

V. Phone/Fax

Practice location:
  • Phone: 832-532-0601
  • Fax: 832-532-0602
Mailing address:
  • Phone: 832-532-0601
  • Fax: 832-532-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number012177
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ANNIE U. WILLIE
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 832-532-0601