MILLENNIUM HOME CARE
NPI 1497121537
Home Health in Plymouth, MN

Active since August 12, 2015CLIA 24D2281100 · Waiver
12630 15TH AVE N, PLYMOUTH, MN 55441(612) 865-9080 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Millennium Home Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLENNIUM HOME CARE (NPI 1497121537) is a healthcare organization registered as a home health in Plymouth, Minnesota and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Ella Selyukov, President/owner, as its authorized official.

NPPES Registry Identity

NPI1497121537
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMILLENNIUM HOME CARE
Location Address12630 15TH AVE NPlymouth, MN 55441-4627
Mailing Address12630 15th Ave NPlymouth, MN 55441-4627
Organization SubpartNo
Authorized OfficialElla SelyukovPresident/owner · (612) 865-9080
Enumeration DateAugust 12, 2015
NPI 1497121537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
12630 15TH AVE N, Plymouth, MN 55441

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 24D2281100

Millennium Homes LLC · New Hope, MN
Active · expires May 1, 2027
CLIA Number24D2281100
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorOksana Perzhu
Laboratory Phone(612) 865-9080
Laboratory LocationMillennium Homes LLC9307 59th Ave N, New Hope, MN 55428
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Millennium Home Care's NPI number?

The NPI number for Millennium Home Care is 1497121537. It was assigned to this organization in the NPPES registry on August 12, 2015.

Where is Millennium Home Care located?

Millennium Home Care is located at 12630 15th Ave N, Plymouth, MN 55441. The listed phone number is (612) 865-9080.

What is Millennium Home Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Millennium Home Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2281100) is associated with this NPI, valid through May 1, 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 Millennium Home Care was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.