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Contact Information

MOONLIGHT HOME HEALTHCARE SERVICES, LLC
2800 SELKIRK DR APT 310C
BURNSVILLE, MN55337-5676
 Phone: 651-347-3096
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Case Management

163WC0400X
 

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for MOONLIGHT HOME HEALTHCARE SERVICES, LLC

NPI Number 1851781058
LBN Legal business name MOONLIGHT HOME HEALTHCARE SERVICES, LLC
Authorized official ASAD ABDALLE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2015
Last updated 01/27/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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