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MILLENNIUM RESIDENTIAL HOME INC.
NPI 1720579022
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Glendale, AZ

Active since May 22, 2018
10325 W SAN JUAN AVE, GLENDALE, AZ 85307(623) 418-2266(623) 218-1520 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Millennium Residential Home Inc. NPPES

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

MILLENNIUM RESIDENTIAL HOME INC. (NPI 1720579022) is a healthcare organization registered as an assisted living, behavioral disturbances in Glendale, Arizona and active in the NPI registry since May 2018. The organization lists Timiadi Edogi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720579022
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameMILLENNIUM RESIDENTIAL HOME INC.
Location Address10325 W SAN JUAN AVEGlendale, AZ 85307-4310
Mailing Address10325 W San Juan AveGlendale, AZ 85307-4310 · (623) 418-2266 · Fax (623) 218-1520
Phone(623) 418-2266
Fax(623) 218-1520
Organization SubpartNo
Authorized OfficialTimiadi EdogiAdministrator · (623) 418-2266
Enumeration DateMay 22, 2018
✔ NPI 1720579022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
10325 W SAN JUAN AVE, Glendale, AZ 85307
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMIADI EDOGI
Social Worker (School)
10325 W SAN JUAN AVE
GLENDALE, AZ 85307
Maricopa County (632) 748-8952

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 Residential Home Inc.'s NPI number?

The NPI number for Millennium Residential Home Inc. is 1720579022. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Millennium Residential Home Inc. located?

Millennium Residential Home Inc. is located at 10325 W San Juan Ave, Glendale, AZ 85307. The listed phone number is (623) 418-2266.

What is Millennium Residential Home Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Millennium Residential Home Inc. was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.