Moonlight Convalescence Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MOONLIGHT CONVALESCENCE CARE LLC

Practice address

11111 Bissonnet St Ste a
Houston, TX 77099-2045

Phone

(971) 348-1411

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Wahab Olaiya Alabi

Title

Co-Owner

Phone

(971) 348-1411

Specialties & licenses 2

Addresses

Other names 1

• Moonlight Convalescence Care LLC Former legal business name

Locations

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1124842687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 BISSONNET ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992045",
            "telephone_number": "971-348-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 BISSONNET ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992045",
            "telephone_number": "971-348-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT CONVALESCENCE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ALABI",
        "authorized_official_first_name": "WAHAB",
        "authorized_official_middle_name": "OLAIYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "971-348-1411",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moonlight Convalescence Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moonlight Convalescence Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Saurabh Suresh Moonat, D.O.
• Sunita Moonat, MD
• Suresh C. Moonat, MD
• Elizabeth Mooney, APRN, NP-C
• Megan Anne Mooney, PH.D.
• Moonlight Dental Center
• Moonlight Dental Center
• Siby P Moonnumakal, MD
• Moonstone Adult Day Center
• Mooon Healthcare Services, Inc

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.