Moses Group Home Llc

LBN: Moses Group Home Llc
Moses Group Home Llc is an health care organization with primary practice located at 4273 Sw Dido Dr , Port St Lucie FL 34953-6434. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Moses Group Home Llc can be contacted via phone (201) 214-8142, or through Moses, Shirley-Ann via phone (201) 214-8142.

Contact Information

Primary practice address
4273 Sw Dido Dr Port St Lucie FL 34953-6434
Phone: (201) 214-8142
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moses, Shirley-Ann
Phone: (201) 214-8142

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1720437890
LBN Legal business name Moses Group Home Llc
DBA Doing business as
Authorized official Moses, Shirley-Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2016
Last updated Jun 8th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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