MOONLIGHT HEALTHCARE SERIES LLC (NPI# 1174124820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174124820 |
| Entity Type | Organization |
| Organization Name | MOONLIGHT HEALTHCARE SERIES LLC |
| Practice Address |
3700 Grifbrick Dr Plano TX 75075-1514 |
| Practice Telephone | 4697338622 |
| Practice Fax Number | 4699659401 |
| Mailing Telephone | 4697338622 |
| Mailing Fax Number | 4699659401 |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2020-11-07 |
| Authorized Official Name | OLUSEGUN B ABEJIDE (OWNER) |
| Authorized Official Telephone | 4697338622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
3700 GRIFBRICK DR |
| City | PLANO |
| State | TX |
| Zip Code | 75075-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275655045 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 3700 Grifbrick Dr, Plano, TX 75075-1514 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492451 | Apf Health Care Enterprise LLC | In Home Supportive Care | 850 Central Pkwy E Ste 250, Plano, TX 75074-5545 | 2020-09-18 |
| 1518521558 | First Physicians Home Health Service LLC | In Home Supportive Care | 600 Legacy Dr Apt 616, Plano, TX 75023-2213 | 2019-04-25 |
| 1417448440 | Nts Senior Services, LLC. | In Home Supportive Care | 2828 W Parker Rd Ste 202h, Plano, TX 75075-9161 | 2018-05-25 |
| 1184146201 | Trueblue Care LLC | In Home Supportive Care | 3001 Monford Dr, Plano, TX 75074-0122 | 2017-07-11 |
| 1851821276 | Md Friend Medical Billing Solutions | In Home Supportive Care | 4709 W Parker Rd Ste 470, Plano, TX 75093-3371 | 2017-06-18 |
| 1902331887 | Monarch Senior Solutions | In Home Supportive Care | 7708 San Jacinto Pl, Unit 100, Plano, TX 75024-3204 | 2017-04-27 |
| 1407309321 | Angel Care Services LLC | In Home Supportive Care | 1920 Fairfield Dr, Plano, TX 75074-5056 | 2016-07-27 |
| 1609224252 | Nts Services | In Home Supportive Care | 1512 Montclair Dr, Plano, TX 75075-6229 | 2016-05-24 |
| 1104296318 | Rlgdignifiedlivingofplano | In Home Supportive Care | 2816 Tallahassee Ct, Plano, TX 75074-2040 | 2015-09-30 |
| 1366840092 | Albay Homecare LLC | In Home Supportive Care | 3817 Graphic Pl, Plano, TX 75075-3503 | 2014-12-11 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.