NPIMap

Organization Active NPI

Moravia Health Network, LLC

Doing business as Moravia Home Care

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1598486441
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MORAVIA HEALTH NETWORK, LLC
Doing business as
Moravia Home Care
Practice address
400 Renaissance Ctr Ste 2612
Detroit, MI 48243-1502
Phone
(215) 717-8650
NPI assigned
Sep 8, 2022
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
C. Frank Igwe
Title
Ceo/President
Phone
(215) 717-8650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

400 Renaissance Ctr Ste 2612
Detroit, MI 48243-1502

Mailing address

1500 Walnut St Ste 1900
Philadelphia, PA 19102-3509

Other names 1

  • Moravia Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moravia Health Network LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 Renaissance Ctr
Ste 2612
Detroit, MI 48243

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1598486441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 1900",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RENAISSANCE CTR STE 2612",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431502",
            "telephone_number": "215-717-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAVIA HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "C. FRANK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "215-717-8650"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moravia Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.