MEDICARE: MILLENNIUM HEALTH AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency
3	332U00000X	Home Delivered Meals
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1710701347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLENNIUM HEALTH AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	1 CHICK SPRINGS RD STE 207B
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-4971
Country	:	US
Telephone Number	:	864-367-6004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CHICK SPRINGS RD STE 207B
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-4971
Country	:	US
Telephone Number	:	864-283-0221
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LATOYA MCCOMBS- MARTIN
Credential	:	APRN
Telephone Number	:	864-283-0221

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	06/29/2026

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