Shaunina Marie Moore

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

3600 S State Road 7 Ste 241
Miramar, FL 33023-5289

Phone

(954) 983-6111

NPI assigned

Mar 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Helping Hands for Homemaking and Companionship LLC

  • In Home Supportive Care Agency
  • Miramar, FL
  • NPI 1669836557
  NPD (past)

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552694400000",
    "number": "1497214811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 SW 52ND AVE UNIT C5",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330237903",
            "telephone_number": "786-985-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S STATE ROAD 7 STE 241",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235289",
            "telephone_number": "954-983-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHAUNINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisset Montesino Fiallo, RBT-24-337937
• Rachel Montesino Hernandez
• Sol Montiel
• Alexander Gamaliel Moody
• Natasha K Moore, DO
• Genesis M Mora Santana, NP
• Abel M Mora
• Salvador Enrique Mora, MD
• Samantha Fragoso Moraes
• Deborah Morales Arisso

• In Home Supportive Care Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; 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.