Organization Active NPI

Healthy Start Momcare Network, Inc.

  • Case Management Agency
  • Tallahassee, FL
National Provider Identifier
1760884746
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HEALTHY START MOMCARE NETWORK, INC.
Practice address
2002 Old Saint Augustine Rd Ste E45
Tallahassee, FL 32301-4874
Phone
(850) 999-6200
NPI assigned
Sep 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Ms. Karen Chang
Title
Coo
Phone
(850) 999-6200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

2002 Old Saint Augustine Rd Ste E45
Tallahassee, FL 32301-4874

Mailing address

2002 Old Saint Augustine Rd Ste E45
Tallahassee, FL 32301-4874
Phone (850) 999-6200

Other identifiers 2

IdentifierTypeStateIssuer
011146800MedicaidFL
301530OtherFLTRADING PARTNER ID

National Provider Directory

National Provider Directory

Locations

1311 N Paul Russell Rd
Ste A204
Tallahassee, FL 32301

1311 N Paul Russell Rd
Ste D204
Tallahassee, FL 32301

2002 Old Saint Augustine Rd
Ste E45
Tallahassee, FL 32301
Phone (850) 999-6200

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1760884746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 OLD SAINT AUGUSTINE RD STE E45",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014874",
            "telephone_number": "850-999-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 OLD SAINT AUGUSTINE RD STE E45",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014874",
            "telephone_number": "850-999-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY START MOMCARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "850-999-6200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011146800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADING PARTNER ID",
            "identifier": "301530",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.