Moody Manor, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOODY MANOR, INC

Practice address

7150 Holatee TRL
Southwest Ranches, FL 33330-3724

Phone

(954) 434-2016

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

Dania Brown

Title

Administrator

Phone

(954) 434-2016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1760966642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 HOLATEE TRL",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333303724",
            "telephone_number": "954-434-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 HOLATEE TRL",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333303724",
            "telephone_number": "954-434-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOODY MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-434-2016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.