Moonlite Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOONLITE HOSPICE CARE INC

Practice address

31153 Plymouth Rd
Suite 107
Livonia, MI 48150-2134

Phone

(313) 662-4958

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Rehan Ullah Khan

Title

President/Administrator

Phone

(313) 662-4958

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1851683320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31153 PLYMOUTH RD",
            "address_2": "SUITE 107",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502134",
            "telephone_number": "313-662-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31153 PLYMOUTH RD",
            "address_2": "SUITE 107",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502134",
            "telephone_number": "313-662-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLITE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "REHAN",
        "authorized_official_middle_name": "ULLAH",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "313-662-4958",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Fhil Quintana Monton, PT
• Shelby Moody
• Moon and Sage LLC
• Alice Gail Moon, MSRD, PAC
• Moonlite Home Care Inc
• Penelope Anne Moore-Caskey
• Toya Moore-Reyes
• Elondo Moore
• Gregory M Moore, DPT
• Jill Louise Moore

• Community Based Hospice Care Agency in Livonia, MI
• Providers in Livonia, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.