Moses Home, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

067-R-0949 Issued in GA

Legal business name

MOSES HOME, INC.

Practice address

114 Kenvilla Dr
Tucker, GA 30084-1905

Phone

(404) 429-7713

Fax

(888) 778-1473

NPI assigned

Feb 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Katherine Rubin

Title

Owner/Administrator

Phone

(404) 429-7713

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359763200000",
    "number": "1033458609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 KENVILLA DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841905",
            "telephone_number": "404-429-7713",
            "fax_number": "888-778-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KENVILLA DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841905",
            "telephone_number": "404-429-7713",
            "fax_number": "888-778-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-02",
        "last_updated": "2013-02-02",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "404-429-7713",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "067-R-0949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Ann Morgan
• Antoinette Michelle Morris, MS
• Elsie Coleman Morris, MD
• Michael Tyrone Morris II, M.D.
• Georgea Morton-Hamiel
• Brittany Moskal
• Hassan S Mostafavipour, MD.
• Arnrae Udinsky Moultrie, PA
• Carmella Mouzon
• Carol Mouzon

• In Home Supportive Care Agency in Tucker, GA
• Providers in Tucker, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.