Fonda Moody, FON TRANS

Individual provider Active NPI Home Health Aide · Oakland, TN

NPI 1588020135 · NPPES record last updated Jan 14, 2016

Key facts

NPI
1588020135
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
50 Harbor Oaks CV
Oakland, TN 38060-6069
Phone
(901) 355-4258
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Fon Trans Home Health Aide Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes
Military Health Care Provider 171000000X
Driver 172A00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

50 Harbor Oaks CV
Oakland, TN 38060-6069

Mailing address

50 Harbor Oaks CV
Oakland, TN 38060-6069
Phone (901) 355-4258

Other names

  • Fonda Moody Former name

Other providers in Oakland, TN

All providers in Oakland, TN · Home Health Aide in Tennessee

Sources for this page

Verify at the official NPI Registry.