Organization Active NPI

Roneisha Care Services LLC

  • In Home Supportive Care Agency
  • Clewiston, FL
National Provider Identifier
1225796782
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RONEISHA CARE SERVICES LLC
Practice address
812 Maryland Ave
Clewiston, FL 33440-9319
Phone
(863) 254-3032
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Roneisha Braithwaite-Moore
Title
Owner
Phone
(863) 254-3032

Specialties & licenses 1

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

Addresses

Primary practice location

812 Maryland Ave
Clewiston, FL 33440-9319

Mailing address

812 Maryland Ave
Clewiston, FL 33440-9319
Phone (863) 254-3032

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1225796782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 MARYLAND AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334409319",
            "telephone_number": "863-254-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 MARYLAND AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334409319",
            "telephone_number": "863-254-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONEISHA CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "BRAITHWAITE-MOORE",
        "authorized_official_first_name": "RONEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-254-3032"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "812 Maryland Ave",
            "city": "Clewiston",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334409319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.