MILLENIUM MANOR, LLC (NPI# 1043684251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043684251 |
Entity Type | Organization |
Organization Name | MILLENIUM MANOR, LLC |
Other Organization Name | THE MANOR |
Practice Address |
4509 Arthur Rd Slinger WI 53086-9603 |
Mailing Address |
6633 N Lincoln Ave Lincolnwood IL 60712-3605 |
Practice Telephone | 4149301931 |
Mailing Telephone | 3128603344 |
Enumeration Date | 2015-11-25 |
Last Update Date | 2015-11-25 |
Authorized Official Name | MR. ABER HOLLANDER (PRESIDENT) |
Authorized Official Telephone | 4149301920 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 3102 | WI | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | CERTIFICATION | 3102 | 01 |
Other Name | Type Code |
---|---|
The Manor | Doing Business As Name - Organization |
Street Address |
4509 ARTHUR RD |
City | SLINGER |
State | WI |
Zip Code | 53086-9603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215245642 | Body Harmonics, Inc. | Chiropractor | 120a W. Commerce Blvd., Slinger, WI 53086 | 2010-09-20 |
1407923915 | Swanson and Associates Family Dentistry, Inc. | Dentist | 410 E. Washington St., Slinger, WI 53086 | 2006-11-29 |
1376010868 | Sarah Kennedy Fodor | Dentist | 410 E Washington St, Slinger, WI 53086 | 2018-11-01 |
1114494739 | Meghan Dassow | Occupational Therapy Assistant | 1900 American Eagle Drive, Slinger, WI 53086 | 2018-11-01 |
1558664318 | Margaret D Schommer | Nurse Practitioner | 1061 E Commerce Blvd, Slinger, WI 53086 | 2010-12-15 |
1447367313 | Terry S Williamson | Family Medicine | 1061 E Commerce Blvd, Slinger, WI 53086 | 2006-08-24 |
1275640237 | Eric Frank Weber | Internal Medicine | 1061 E Commerce Blvd, Slinger, WI 53086 | 2006-08-24 |
1669587739 | Edmund J Fernandez | Family Medicine | 1061 E Commerce Blvd, Slinger, WI 53086 | 2006-08-20 |
1134247299 | A Natural Way Chiropractic and Wellness Center LLC | Chiropractor | 344 E. Washington St., Slinger, WI 53086-0039 | 2007-03-27 |
1447407705 | Geminicares, Inc. | Public Health or Welfare | 840 Enterprise Drive, Slinger, WI 53086-0230 | 2008-08-19 |
Find all providers in zip 53086 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
1548538275 | Options Counseling Services, LLC | Substance Abuse Rehabilitation Facility | 9433 County Rd J, Minocqua, WI 54548-9318 | 2011-12-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.