Provider Demographics
NPI:1063697977
Name:MILLENIUM STAFFING, INC
Entity type:Organization
Organization Name:MILLENIUM STAFFING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SECRET
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-591-1880
Mailing Address - Street 1:27629 CHAGRIN BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4483
Mailing Address - Country:US
Mailing Address - Phone:216-591-1880
Mailing Address - Fax:
Practice Address - Street 1:27629 CHAGRIN BLVD STE 213
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:OH
Practice Address - Zip Code:44122-4483
Practice Address - Country:US
Practice Address - Phone:216-591-1880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2779088Medicaid