Organization Active NPI

Moxman Home Care LLC

  • Home Health Agency
  • Winter Haven, FL
National Provider Identifier
1215570338
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOXMAN HOME CARE LLC
Practice address
44 4TH St SW
Winter Haven, FL 33880-2910
Phone
(863) 877-3992
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Brandon Moxam
Title
Member
Phone
(863) 289-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

44 4TH St SW
Winter Haven, FL 33880-2910

Mailing address

115 Covington CV SE
Winter Haven, FL 33880-4555
Phone (863) 875-4376

Other identifiers 1

IdentifierTypeStateIssuer
299994949OtherFLHOME HEALTH AGENCY (ISSUED BY AHCA)

Other names 1

  • ASSISTING HANDS HOME CARE - POLK COUNTY Doing business as

National Provider Directory

National Provider Directory

Locations

44 4th St SW
Winter Haven, FL 33880
Phone (863) 877-3992

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1215570338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COVINGTON CV SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804555",
            "telephone_number": "863-875-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 4TH ST SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802910",
            "telephone_number": "863-877-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXMAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "MOXAM",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "863-289-0117"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY (ISSUED BY AHCA)",
            "identifier": "299994949",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSISTING HANDS HOME CARE - POLK COUNTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.