Senior Moments Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA 299993225 Issued in FL

Legal business name

SENIOR MOMENTS HOME HEALTH, INC.

Practice address

216 N 3Rd St Ste a
Leesburg, FL 34748-5197

Phone

(352) 323-6100

Fax

(352) 323-6130

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Matthew J Gravat

Title

Cfo/VP

Phone

(352) 323-6100

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1134550387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N 3RD ST STE A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485197",
            "telephone_number": "352-323-6100",
            "fax_number": "352-323-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N 3RD ST STE A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485197",
            "telephone_number": "352-323-6100",
            "fax_number": "352-323-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MOMENTS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "GRAVAT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO/VP",
        "authorized_official_telephone_number": "352-323-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA 299993225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ronald James Seymour, PT

• Home Health Agency in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Home Health Agency in Florida

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