Active NPI
Teresita Moreno
- In Home Supportive Care Agency
- Miami, FL
National Provider Identifier
1407373814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 15605 SW 178TH LN
Miami, FL 33187-7805 - Phone
- (305) 968-7525
- Fax
- (305) 253-3027
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | FL | Primary |
Addresses
Primary practice location
15605 SW 178TH LN
Miami, FL 33187-7805
Mailing address
15605 SW 178TH LN
Miami, FL 33187-7805
Phone (305) 968-7525
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001878300 | Medicaid | FL | |
| 688419998 | Medicaid | FL | |
| 688419996 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | teresitamoreno@comcast.net | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Da Lourdes Services Corp | In Home Supportive Care | Past | Accepting new patients |
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.
-
- In Home Supportive Care Agency
- Miami, FL
- NPI 1225295082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407373814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15605 SW 178TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331877805",
"telephone_number": "305-968-7525",
"fax_number": "305-253-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15605 SW 178TH LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331877805",
"telephone_number": "305-968-7525",
"fax_number": "305-253-3027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "TERESITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001878300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688419998",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688419996",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "teresitamoreno@comcast.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15605 SW 178th Ln",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331877805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.