Individual provider Active NPI

Natalie Deanne Moreno

  • Home Health Agency
  • Campbell, CA
National Provider Identifier
1316548225
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
434700145 Issued in CA
Practice address
42 W Campbell Ave Ste 101
Campbell, CA 95008-1042
Phone
(408) 429-8665
Fax
(408) 540-7263
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 434700145 CA Primary

Addresses

Primary practice location

42 W Campbell Ave Ste 101
Campbell, CA 95008-1042

Mailing address

42 W Campbell Ave Ste 101
Campbell, CA 95008-1042
Phone (408) 429-8665

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL inbox@cschomecare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
434700145CAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie and Destiny Enterprises LLC Home Health CurrentSince Jun 22, 2021 Accepting new patients

Locations

42 W Campbell Ave
Ste 101
Campbell, CA 95008
Phone (408) 429-8665

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1316548225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W CAMPBELL AVE STE 101",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081042",
            "telephone_number": "408-429-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W CAMPBELL AVE STE 101",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081042",
            "telephone_number": "408-429-8665",
            "fax_number": "408-540-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "NATALIE",
        "middle_name": "DEANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "434700145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "inbox@cschomecare.com",
            "affiliation": "N",
            "endpointDescription": "master email from web domain",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "42 W Campbell Ave Ste 101",
            "city": "Campbell",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950081042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.