MILLENNIAL HEALTHCARE
NPI 1437852266
Nursing Care in Jackson, MS
About Millennial Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILLENNIAL HEALTHCARE (NPI 1437852266) is a healthcare organization registered as a nursing care in Jackson, Mississippi and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Dominique Jaquetta Nicole Buckner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2286594
Millennial Healthcare LLC · Jackson, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Millennial Healthcare, LLC's NPI number?
The NPI number for Millennial Healthcare, LLC is 1437852266. It was assigned to this organization in the NPPES registry on March 22, 2023. The provider is doing business as Millennial Healthcare.
Where is Millennial Healthcare, LLC located?
Millennial Healthcare, LLC is located at 5290 Galaxie Dr Ste 105, Jackson, MS 39206. The listed phone number is (601) 882-4878.
What is Millennial Healthcare, LLC's specialty?
The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.
Does Millennial Healthcare, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2286594) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Millennial Healthcare, LLC was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Millennial Healthcare · NPI 1437852266
Nursing Care organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1437852266 (Entity type: Organization)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Nursing Care · taxonomy 251J00000X
- **Legal business name:** Millennial Healthcare, Llc
- **Organization subpart:** No
- **Authorized official:** Dominique Buckner, OWNER
## Practice location
- **Address:** 5290 GALAXIE DR STE 105, Jackson, MS 39206-4311
- **Phone:** (601) 882-4878
## Record status
- **NPPES last updated:** October 20, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437852266) · Data from the CMS NPPES public registry.