Organization Active NPI

Moravia Health Network, LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1740901156
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MORAVIA HEALTH NETWORK, LLC
Practice address
100 S 4TH St Ste 545
Saint Louis, MO 63102-1897
Phone
(215) 717-8650
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
C. Frank Igwe
Title
Owner/President
Phone
(215) 717-8650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

100 S 4TH St Ste 545
Saint Louis, MO 63102-1897

Mailing address

1500 Walnut St Ste 1900
Philadelphia, PA 19102-3509
Phone (215) 717-8650

Other names 1

  • Moravia Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moravia Health Network LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 S 4th St
Ste 545
Saint Louis, MO 63102

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1740901156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 1900",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023509",
            "telephone_number": "215-717-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 545",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021897",
            "telephone_number": "215-717-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAVIA HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "C. FRANK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "215-717-8650"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moravia Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.