MEDICARE: MILLIONAIRE MINSET MOVES

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	:	1356167415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLIONAIRE MINSET MOVES

Provider Business Mailing Address
First Line	:	25393 PLEASANT TRL
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-2555
Country	:	US
Telephone Number	:	510-600-2319
Fax Number	:

Provider Business Practice Location Address
First Line	:	25393 PLEASANT TRL
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-2555
Country	:	US
Telephone Number	:	510-600-2319
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. NADIA L WHITEHEAD
Credential	:
Telephone Number	:	510-600-2319

Provider Enumeration Date	:	11/22/2024
Last Update Date	:	11/22/2024

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