Active NPI
Chastity D Moye
- Custodial Care Facility
- Deltona, FL
National Provider Identifier
1891441929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 69007071
- Practice address
- 1202 Sherbrook Dr
Deltona, FL 32725-3331 - Phone
- (407) 276-7698
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 69007071 | FL | Primary |
Addresses
Primary practice location
1202 Sherbrook Dr
Deltona, FL 32725-3331
Mailing address
1202 Sherbrook Dr
Deltona, FL 32725-3331
Phone (407) 276-7698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69007071 | FL | MD | Custodial Care Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1891441929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 SHERBROOK DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327253331",
"telephone_number": "407-276-7698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 SHERBROOK DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327253331",
"telephone_number": "407-276-7698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYE",
"first_name": "CHASTITY",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "FL",
"license": "69007071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.