Organization Active NPI

Moise Integrated Service Inc

  • Home Health Agency
  • Clermont, FL
National Provider Identifier
1821765975
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOISE INTEGRATED SERVICE INC
Doing business as
Golden Heart Clermont
Practice address
4300 S. Hidhway 27, Suite 205a
Clermont, FL 34711
Phone
(352) 502-0032
Fax
(352) 415-4466
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Nikenston MoiseNPI 1205498250
Title
Administrator
Phone
(407) 408-8898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4300 S. Hidhway 27, Suite 205a
Clermont, FL 34711

Mailing address

4300 S. Hidhway 27, Suite 205a
Clermont, FL 34711
Phone (352) 502-0032

Other names 1

  • Golden Heart Clermont Doing business as

National Provider Directory

National Provider Directory

Locations

4300 S Highway 27
Ste 205A
Clermont, FL 34711
Phone (352) 502-0032

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1821765975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S. HIDHWAY 27, SUITE 205A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-502-0032",
            "fax_number": "352-415-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S. HIDHWAY 27, SUITE 205A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-502-0032",
            "fax_number": "352-415-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOISE INTEGRATED SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "MOISE",
        "authorized_official_first_name": "NIKENSTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-408-8898"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Heart Clermont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.