Organization Active NPI

Positive Moments Health Services LLC

  • Home Health Agency
  • Fort Pierce, FL
National Provider Identifier
1215755046
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
POSITIVE MOMENTS HEALTH SERVICES LLC
Practice address
762 Bent Creek Dr
Fort Pierce, FL 34947-1322
Phone
(772) 672-1241
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Tonetta Lee, LPN, LNHA
Title
Ceo/Owner
Phone
(772) 672-1241

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

762 Bent Creek Dr
Fort Pierce, FL 34947-1322

Mailing address

762 Bent Creek Dr
Fort Pierce, FL 34947-1322
Phone (772) 672-1241

Other identifiers 1

IdentifierTypeStateIssuer
113301100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1215755046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 BENT CREEK DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349471322",
            "telephone_number": "772-672-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 BENT CREEK DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349471322",
            "telephone_number": "772-672-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE MOMENTS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TONETTA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "772-672-1241",
        "authorized_official_credential": "LPN, LNHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113301100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.