Provider Demographics
NPI:1366522039
Name:MILESTONES SERVICES, INC.
Entity type:Organization
Organization Name:MILESTONES SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:OHLDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-329-8102
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:1700 SOUTH BOULEVARD
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-0219
Mailing Address - Country:US
Mailing Address - Phone:501-329-2164
Mailing Address - Fax:501-329-2113
Practice Address - Street 1:1700 SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-6455
Practice Address - Country:US
Practice Address - Phone:501-329-2164
Practice Address - Fax:501-329-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR130523774Medicaid
AR125900767Medicaid
AR116441742Medicaid
AR132513786OtherSTATE FUNDS
AR158094771Medicaid
AR102217724Medicaid
AR140200724Medicaid
AR115073715Medicaid
AR145750778Medicaid