Individual provider Active NPI

Maurice Monya Wess

  • Home Health Agency
  • Birmingham, AL
National Provider Identifier
1346683042
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1 Perimeter Park S
Suite 100 N
Birmingham, AL 35243-2327
Phone
(205) 234-5843
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X MONYA8492 CA
Home Health Agency 251E00000X AL Primary

Addresses

Primary practice location

1 Perimeter Park S
Suite 100 N
Birmingham, AL 35243-2327

Mailing address

3220 Shadow Springs PL
San Jose, CA 95121-1768
Phone (601) 310-8492

Other identifiers 1

IdentifierTypeStateIssuer
1346683042MedicaidAL

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
MONYA8492CAMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1346683042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SHADOW SPRINGS PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211768",
            "telephone_number": "601-310-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERIMETER PARK S",
            "address_2": "SUITE 100 N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432327",
            "telephone_number": "205-234-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESS",
        "first_name": "MAURICE",
        "middle_name": "MONYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "MONYA8492",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346683042",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.