NPIMap

Organization Active NPI

Connect and Move Staffing LLC

  • In Home Supportive Care Agency
  • Clermont, FL
National Provider Identifier
1053857342
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
234304 Issued in FL
Legal business name
CONNECT AND MOVE STAFFING LLC
Practice address
1216 Bowman St
Clermont, FL 34711-3144
Phone
(352) 708-6496
Fax
(352) 708-5782
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Christine Knight, LPN
Title
Administrator
Phone
(352) 708-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 234304 FL Primary

Addresses

Primary practice location

1216 Bowman St
Clermont, FL 34711-3144

Mailing address

1216 Bowman St
Clermont, FL 34711-3144
Phone (352) 708-6496

Other identifiers 1

IdentifierTypeStateIssuer
019251400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Connect and Move Staffing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1216 Bowman St
Clermont, FL 34711
Phone (352) 708-6496

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1053857342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 BOWMAN ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113144",
            "telephone_number": "352-708-6496",
            "fax_number": "352-708-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 BOWMAN ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113144",
            "telephone_number": "352-708-6496",
            "fax_number": "352-708-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT AND MOVE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-708-6066",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019251400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.