Organization Active NPI

Moye Homecare

  • Home Health Agency
  • Dallas, GA
National Provider Identifier
1700490174
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOYE HOMECARE
Practice address
479 Shady GLN
Dallas, GA 30132-0516
Phone
(404) 934-5384
NPI assigned
Sep 3, 2020
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Oyebola Oyewumi, LPN
Title
Nurse
Phone
(404) 934-5384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

479 Shady GLN
Dallas, GA 30132-0516

Mailing address

479 Shady GLN
Dallas, GA 30132-0516
Phone (404) 934-5384

Other identifiers 1

IdentifierTypeStateIssuer
0000MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bola_oyewumi1@yahoo.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1700490174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 SHADY GLN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320516",
            "telephone_number": "404-934-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 SHADY GLN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320516",
            "telephone_number": "404-934-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "OYEWUMI",
        "authorized_official_first_name": "OYEBOLA",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "404-934-5384",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bola_oyewumi1@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "homecare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "479 Shady Gln",
            "city": "Dallas",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301320516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.