Active NPI
Moravia Health Network LLC
- In Home Supportive Care Agency
- Dallas, TX
National Provider Identifier
1215670690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Personal Care Attendant | 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
National Provider Directory
National Provider DirectoryLocations
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.