JIMMY MOON NPI 1992170211

NPI Information

  • NPI: 1992170211
  • Provider Name: JIMMY MOON
  • Classification: Contractor - 171WH0202X
  • Specialization: Home Modifications
  • Entity Type: Individual
  • Address: 16541 SWEETWATER DR
    MILTON, DE
    ZIP 19968
  • Phone: (302) 500-0950

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NPI Details

Jimmy Moon is a home modifications contractor in Milton, DE. The provider is a contractor who makes modifications to homes to accommodate a health condition. Jimmy Moon NPI is 1992170211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16541 SWEETWATER DR
MILTON, DE
ZIP 19968-062
Phone: (302) 500-0950

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.

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 License Number License State Primary
1171WH0202XContractorHome Modifications2015102773DELAWAREYes

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: 11/21/2025

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