MEDICARE: MILLENIUM HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1134122039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLENIUM HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	400 INTERSTATE NORTH PKWY SE STE 1600
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5047
Country	:	US
Telephone Number	:	470-464-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 N PROVIDENCE RD STE 212
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063-2055
Country	:	US
Telephone Number	:	610-543-4126
Fax Number	:	610-543-7952

Authorized Official
Title or Position	:	CHIEF LEGAL OFFICER
Name	:	SHANNON DRAKE
Credential	:
Telephone Number	:	470-464-8000

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/29/2024

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