MEDICARE: MILLENNIAL TRANSPORTATION SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251J00000X	Nursing Care Agency
4	253Z00000X	In Home Supportive Care Agency
5	310400000X	Assisted Living Facility
6	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16606230	OTHER	TX	DRIVERS LICENSE

General Provider Information

NPI Number	:	1386260230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLENNIAL TRANSPORTATION SERVICES

Provider Business Mailing Address
First Line	:	2724 PERCHERON DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4031
Country	:	US
Telephone Number	:	214-507-2568
Fax Number	:

Provider Business Practice Location Address
First Line	:	2724 PERCHERON DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4031
Country	:	US
Telephone Number	:	214-507-2568
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTA NICHOLE MITCHELL
Credential	:
Telephone Number	:	214-507-2568

Provider Enumeration Date	:	06/16/2020
Last Update Date	:	09/02/2025

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