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NPI Code Detail

MEDICARE: MILLENNIUM COMPANION, INC

MEDICARE: MILLENNIUM COMPANION, 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
1261QA0600XAdult Day Care Clinic/Center
2251E00000XHome Health AgencyAR5190AR

General Provider Information

NPI Number : 1811448509
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLENNIUM COMPANION, INC
Provider Business Mailing Address
First Line : 9700 N RODNEY PARHAM RD
Second Line : SUITE B
City : LITTLE ROCK
State : AR
Zip : 72227-6244
Country : US
Telephone Number : 501-414-8698
Fax Number : 501-414-8699
Provider Business Practice Location Address
First Line : 9700 N RODNEY PARHAM RD
Second Line : SUITE B
City : LITTLE ROCK
State : AR
Zip : 72227-6244
Country : US
Telephone Number : 501-414-8698
Fax Number : 501-414-8699
Authorized Official
Title or Position : OWNER
Name : SHAY STEVENS
Credential :
Telephone Number : 501-414-8698
Provider Enumeration Date : 10/18/2016
Last Update Date : 11/17/2025

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Directions to “MILLENNIUM COMPANION, INC ” Practice Location

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