Moc Phoenix, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOC PHOENIX, LLC

Doing business as

Rapid Recovery From Mainstreet Health
Rapid Recovery by Mainstreet Health

Practice address

3000 N. 91St Avenue
Phoenix, AZ 85037

Phone

(317) 689-2157

Fax

(317) 689-2157

NPI assigned

Jul 14, 2017

Organization subpart

Yes

Parent organization

MOC PHOENIX, LLCAs reported in NPPES

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

Authorized official

Name

Paul Ezekiel Turner

Title

Ceo

Phone

(317) 582-6200

Specialties & licenses 2

Addresses

Other names 2

• Rapid Recovery From Mainstreet Health Doing business as
• Rapid Recovery by Mainstreet Health Doing business as

Part of

Moc Phoenix LLC

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720500465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14390 CLAY TERRACE BLVD STE 205",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323669",
            "telephone_number": "317-582-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N. 91ST AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "317-689-2157",
            "fax_number": "317-689-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOC PHOENIX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOC PHOENIX, LLC",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EZEKIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-582-6200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid Recovery From Mainstreet Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rapid Recovery by Mainstreet Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mobile Wound Care Specialist LLC
• Mobile Woundcure PLLC
• Nataija Brianne Mobley, RBT
• Ryan M Mobley, NP
• Tammi Mobley
• Mark William Mocciaro, D.C.
• Eleonora Mocevic, CCC-SLP
• Bianca Angelica Mocha, LPC
• Caitlin Mock, SLP
• Tracy Mock, BCBA

• Skilled Nursing Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.