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General NPI Number Information
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NPI Number | 1811448509
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Entity Type | Organization
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Legal Business Name | MILLENNIUM COMPANION, INC
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 9700 N RODNEY PARHAM RD SUITE B
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City | LITTLE ROCK
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State | AR
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Zip | 72227-6244
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Country | US
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Telephone | 501-414-8698
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Fax | 501-414-8699
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Provider Business Mailing Address
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Address Line | 9700 N RODNEY PARHAM RD SUITE B
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City | LITTLE ROCK
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State | AR
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Zip | 72227-6244
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Country | US
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Telephone | 501-414-8698
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Fax | 501-414-8699
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Authorized Official
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Title or Position | OWNER
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Name | SHAY STEVENS
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Credential |
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Telephone | 501-414-8698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | AR5190
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License Number State | AR
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