Moonlight Healthcare Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOONLIGHT HEALTHCARE SERVICES INC.

Practice address

3729 Towne Crossing Blvd Apt 1914
Mesquite, TX 75150-2735

Phone

(214) 405-4668

Fax

(214) 696-9863

NPI assigned

Jan 14, 2009

Last updated

Feb 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Siachitema

Title

Administrator

Phone

(214) 405-4668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1922245844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 TOWNE CROSSING BLVD APT 1914",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502735",
            "telephone_number": "214-405-4668",
            "fax_number": "214-696-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 TOWNE CROSSING BLVD APT 1914",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502735",
            "telephone_number": "214-405-4668",
            "fax_number": "214-696-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "SIACHITEMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-405-4668"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashaunte Montgomery
• Kimberley Montgomery, M.A.,LPC-S
• Steve Monyoncho,, COTA
• Emily Moody, PTA
• Justin Moon
• Moore Care
• Cheri Lyn Moore, C.R.N.A.
• Larry C Moore, M.D.
• Aury Nicolasita Moquete, ARNP
• Raul Morales

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.