Shaneka Dalon Morris

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

805 S Stone St
Deland, FL 32720-6761

Phone

(386) 956-1405

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Haven

  • Home Health Agency
  • Deland, FL
  • NPI 1174062525
  NPD Authorized official
• Grace Haven LLC

  • In Home Supportive Care Agency
  • Deland, FL
  • NPI 1699304840
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1255945192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206761",
            "telephone_number": "386-956-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206761",
            "telephone_number": "386-956-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SHANEKA",
        "middle_name": "DALON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104643400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gracehcc.com",
            "affiliation": "N",
            "address_1": "805 S Stone St",
            "city": "Deland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327206761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory Carl Moo, DDS
• Sherri A Moore, RPH
• Vikki Lynn Moore, D.C.
• Erin Morcom, PTA
• April D Morris, ARNP
• Erika Nicole Morrison, APRN
• Khaled Moumneh, DO, MSC
• Gretchen Moyer
• Jeffrey Logan Moyer, MA
• MSK Re Holdings LLC

• Home Health Aide in Deland, FL
• Providers in Deland, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.