Moses Group Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MOSES GROUP HOME LLC

Practice address

4273 SW Dido Dr
Port St Lucie, FL 34953-6434

Phone

(201) 214-8142

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Shirley-Ann Moses

Title

MGR

Phone

(201) 214-8142

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1720437890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 SW DIDO DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536434",
            "telephone_number": "201-214-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 SW DIDO DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536434",
            "telephone_number": "201-214-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "SHIRLEY-ANN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "201-214-8142"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn L Morrison, OD
• Lydell Bancroft Morrison
• Sally Morrison
• Huguette Mortimer Dupont
• Shelly Amanda Mosely, NP
• Michelle Moses, CRNA
• Joana L Moton, SLP
• Moving Forward Psychology Services
• Moving Into New Dimensions Therapeutic Services LLLC
• Laura T Moylan, CLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.