Active NPI
Moxman Home Care LLC
- Home Health Agency
- Winter Haven, FL
National Provider Identifier
1215570338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299994949 | Other | FL | HOME HEALTH AGENCY (ISSUED BY AHCA) |
Other names 1
- ASSISTING HANDS HOME CARE - POLK COUNTY
National Provider Directory
National Provider DirectoryLocations
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.