MILLENNIUM TREATMENT SERVICES LLC (NPI# 1619148897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619148897 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM TREATMENT SERVICES LLC |
| Practice Address |
23700 Van Dyke Ave Warren MI 48089-1669 |
| Mailing Address |
1400 E 12 Mile Rd Madison Heights MI 48071-2651 |
| Practice Telephone | 5867586670 |
| Practice Fax Number | 5867580243 |
| Mailing Telephone | 2485472223 |
| Mailing Fax Number | 2485472226 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MR. ANTHONY COSIMO CLEMENTE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5867586670 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
500371 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 500371 | 05 |
| Street Address |
23700 VAN DYKE AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48089-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104841287 | David Carl Rimka | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1669 | 2006-07-12 |
| 1154965978 | Paula Christine Hemphill | Licensed Practical Nurse | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2019-11-05 |
| 1992086144 | Premier Care Warren | Case Management | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2011-09-01 |
| 1356621668 | Premier Care Warren | Community/Behavioral Health | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2011-08-18 |
| 1942592167 | Gena A. Cunningham | Social Worker | 23700 Van Dyke Ave, Suite 130, Warren, MI 48089-1600 | 2011-05-05 |
| 1760636971 | Vinod Kohli Md PC | General Practice | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-11-14 |
| 1437307295 | Belinda Marie Hunter | Social Worker | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-09-05 |
| 1508012212 | Joann Cheryel Brown | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-08-13 |
| 1396991097 | Kathryn J Roberts | Counselor | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-08-13 |
| 1558532200 | Raymond Burl Holliman | Clinic/Center | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750691184 | Crc Recovery Inc | Clinic/Center | 44 School St, Warren, ME 04864-4259 | 2010-10-19 |
| 1558532200 | Raymond Burl Holliman | Clinic/Center | 23700 Van Dyke Ave, Warren, MI 48089-1600 | 2008-03-20 |
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|---|---|---|---|---|
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1942675426 | Eastern Clinic Pllc | Clinic/Center | 1555 Eastern Ave Se, Grand Rapids, MI 49507-2055 | 2015-12-09 |
| 1740653641 | Ann Arbor Treatment Services, LLC | Clinic/Center | 4673 Washtenaw Ave, Ann Arbor, MI 48108 | 2015-11-02 |
| 1902284193 | Therapeutics, LLC | Clinic/Center | 50222 Dennis Ct, Wixom, MI 48393-2023 | 2015-05-08 |
| 1578960480 | Changes1, Pllc | Clinic/Center | 19940 Conant, Ste A, B, & C, Detroit, MI 48234-1494 | 2014-11-21 |
| 1669874418 | The Brighton Center, Inc. | Clinic/Center | 2512 Harte Dr, Brighton, MI 48114-7002 | 2014-09-24 |
| 1275969990 | Harriet Alexander | Clinic/Center | 20724 Eureka Rd., Taylor, MI 48180 | 2013-09-26 |
| 1922383397 | Rainbow Center Inc. | Clinic/Center | 20724 Eureka Rd, Taylor, MI 48180-5313 | 2011-10-18 |
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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.