# MILLENNIUM HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043640360
- **Authorized official:** MRS. MULUEMBET FISSEHA (ADMINISTRATOR)
- **Authorized official phone:** (703) 862-8447

## Contact information

- **Practice address:** 4810 BEAUREGARD ST, SUITE 325, ALEXANDRIA, VA 22312-1709
- **Practice address phone:** (703) 941-8412
- **Mailing address:** 4810 BEAUREGARD ST, SUITE 325, ALEXANDRIA, VA 22312-1709
- **Mailing address phone:** (703) 941-8412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-14982 | VA | Yes |

## Other

- **Enumeration date:** 11/22/2013
- **Last updated:** 09/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0171824805 | — | VA |
| 05 | — | 0171830612 | — | VA |
| 05 | — | 0171836569 | — | VA |