Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Millennium Residential Home Inc

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1720579022

Millennium Residential Home Inc is an Assisted Living Facility (Behavioral Disturbances) in Glendale, Arizona. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10325 W San Juan Ave
Glendale, AZ 85307-4310
Phone: (623) 418-2266
Fax: (623) 218-1520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X

Record details

NPI number1720579022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timiadi Edogi — Administrator · (623) 418-2266
NPI enumeratedMay 22, 2018
Last updated in NPPESMay 22, 2018
Mailing address10325 W San Juan Ave, Glendale, AZ 85307-4310

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