Lauren H Moller

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

9880 E Mawman Ave
Beach Park, IL 60087-2469

Phone

(225) 303-5122

NPI assigned

Jun 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angel Care LLC

  • In Home Supportive Care Agency
  • Beach Park, IL
  • NPI 1932938214

  Home Health Aide

  NPD Authorized official
• Eazy Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Beach Park, IL
  • NPI 1619794500
  NPD Authorized official

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1740023969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 E MAWMAN AVE",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600872469",
            "telephone_number": "225-303-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 E MAWMAN AVE",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600872469",
            "telephone_number": "225-303-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLER",
        "first_name": "LAUREN",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fowzia Kazi Lodi, PHARMD,RPH
• David Londo
• Danica Jenice Coranez Malo, LPC
• Jesse-Jay Manansala, PMHNP-BC
• Maves Medical LTD
• Allison Sheridan Myers, M.A., CCC-SLP
• Stephen Dennis Northrop, D.D.S., M.D.
• John T Patenaude, DC
• Lanea Patton
• Monica Phelps, LPN

• All providers in Beach Park, IL
• Home Health Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.