Look up the most recent NPI and PECOS records

Milestones Moments Nc Llc

Community/Behavioral Health

Agencies

207 W Millbrook Rd Ste 210, Raleigh, NC 27609-4490

PECOS Enrollment

Based on the most recent information from CMS, provider Milestones Moments Nc Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1417752072
Provider Type
Organization
Full Name
Milestones Moments Nc Llc

Subpart
No
Enumeration Date
2/18/2025
Last Updated
4/2/2025

Contact Information

Practice Location

207 W Millbrook Rd Ste 210, Raleigh, NC 27609-4490

(770) 827-9757

Unlisted Fax

Mailing Location

207 W Millbrook Rd Ste 210, Raleigh, NC 27609-4490

Unlisted Phone

Unlisted Fax

Authorized Official

Gelbtuch, Stuart (Ceo)

(770) 872-9752

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 103K00000X	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer

Milestones Moments Nc Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

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