Moon Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOON HOME HEALTHCARE, LLC

Practice address

48 Hawkes Ave
Columbus, OH 43222-1429

Phone

(614) 962-2144

NPI assigned

Oct 18, 2019

Organization subpart

No

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

Authorized official

Name

Mohamed H Sufi

Title

Executive Director

Phone

(614) 962-2144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1932742269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HAWKES AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HAWKES AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221429",
            "telephone_number": "614-962-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "SUFI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-962-2144"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hinda Mooge, RN
• Ubah M Mooge
• Melissa Anne Moomaw
• Patty A. Moomaw, CRNA
• Moon Healthcare Services LLC
• Brian Christopher Moon, DO
• Brynn Moon, PA-C
• Kelly Moon, CRNA
• Leslie Denise Moon, P.A.
• Rickeshia Moon

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.