Individual provider Active NPI

Maria Viola Moise

  • Home Health Agency
  • Lauderdale Lakes, FL
National Provider Identifier
1922725738
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
4933 NW 43Rd St
Lauderdale Lakes, FL 33319-4637
Phone
(786) 357-9854
Fax
(954) 827-2424
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4933 NW 43Rd St
Lauderdale Lakes, FL 33319-4637

Mailing address

3800 Inverrary Blvd Ste 408F
Lauderhill, FL 33319-4359
Phone (786) 357-9854

Other practice location 1

3800 Inverrary Blvd Ste 408F
Lauderhill, FL 33319-4359
Phone (786) 357-9854

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

Practice roles

OrganizationSpecialtyStatusNew patients
DJC Care Center So FL, Inc. Home Health CurrentSince Sep 29, 2024 Accepting new patients

Locations

3800 Inverrary Blvd
Ste 408F
Lauderhill, FL 33319
Phone (786) 357-9854

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1922725738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 INVERRARY BLVD STE 408F",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194359",
            "telephone_number": "786-357-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 NW 43RD ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194637",
            "telephone_number": "786-357-9854",
            "fax_number": "954-827-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Inverrary Blvd Ste 408F",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333194359",
            "country_code": "US",
            "telephone_number": "786-357-9854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOISE",
        "first_name": "MARIA",
        "middle_name": "VIOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.