MOONLIGHT HOME HEALTHCARE SERVICES LLC NPI 1851781058

NPI Information

NPI: 1851781058
Provider Name: MOONLIGHT HOME HEALTHCARE SERVICES, LLC
Classification: Registered Nurse - 163WA2000X
Entity Type: Organization

Specialization: Administrator

Address:
2800 SELKIRK DR APT 310C
BURNSVILLE, MN
ZIP 55337
Phone: (651) 347-3096
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MOONLIGHT HOME HEALTHCARE SERVICES, LLC is an administrator registered nurse in Burnsville, MN. MOONLIGHT HOME HEALTHCARE SERVICES, LLC NPI is 1851781058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 SELKIRK DR APT 310C
BURNSVILLE, MN
ZIP 55337-676
Phone: (651) 347-3096

The provider's authorized official is Asad Salah Abdalle .
The authorized official title is Administrator and has the following contact phone number (651) 347-3096.

The enumeration date for this NPI number is 1/27/2015 and was last updated on 1/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WC0400X	Registered Nurse	Case Management	No
2	163WH0200X	Registered Nurse	Home Health	No
3	163WA2000X	Registered Nurse	Administrator	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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