Active NPI
Medical Experts Home Health LLC
- Home Health Registered Nurse
- Moorpark, CA
National Provider Identifier
1710696901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- MEDICAL EXPERTS HOME HEALTH LLC
- Practice address
- 12409 Willow Forest Dr
Moorpark, CA 93021-2763 - Phone
- (805) 433-5260
- NPI assigned
- Nov 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bobby Jeffery Hall, MSW
- Title
- Owner Operator
- Phone
- (805) 433-5260
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Home Health Registered Nurse | 163WH0200X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X |
Addresses
Primary practice location
12409 Willow Forest Dr
Moorpark, CA 93021-2763
Mailing address
12409 Willow Forest Dr
Moorpark, CA 93021-2763
Phone (805) 433-5260
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668556800000",
"number": "1710696901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12409 WILLOW FOREST DR",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212763",
"telephone_number": "805-433-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12409 WILLOW FOREST DR",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212763",
"telephone_number": "805-433-5260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL EXPERTS HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "JEFFERY",
"authorized_official_title_or_position": "OWNER OPERATOR",
"authorized_official_telephone_number": "805-433-5260",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.