Organization Active NPI

Moravia Health Network LLC

  • In Home Supportive Care Agency
  • Dallas, TX
National Provider Identifier
1215670690
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MORAVIA HEALTH NETWORK LLC
Practice address
1412 Main St Ste 617
Dallas, TX 75202-4123
Phone
(215) 717-8650
Fax
(215) 717-7839
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Chukwudi Igwe
Title
Owner/President
Phone
(215) 717-8650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

1412 Main St Ste 617
Dallas, TX 75202-4123

Mailing address

1500 Walnut St Ste 1900
Philadelphia, PA 19102-3509
Phone (215) 717-8650

Other names 1

  • Moravia Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

1412 Main St
Ste 617
Dallas, TX 75202

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1215670690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 1900",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023509",
            "telephone_number": "215-717-8650",
            "fax_number": "215-717-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MAIN ST STE 617",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024123",
            "telephone_number": "215-717-8650",
            "fax_number": "215-717-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAVIA HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "CHUKWUDI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-717-8650"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moravia Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.