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MOONLITE, LLC
NPI 1104207760
Home Health in Pueblo, CO

Active since June 09, 2015
805 EAGLERIDGE BLVD STE 120, PUEBLO, CO 81008(970) 209-0223 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Moonlite, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOONLITE, LLC (NPI 1104207760), doing business as Dba Firstlight Home Care Pueblo, is a healthcare organization registered as a home health in Pueblo, Colorado and active in the NPI registry since June 2015. The organization lists Judy Devincentis, Member, as its authorized official.

NPPES Registry Identity

NPI1104207760
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMOONLITE, LLC
Location Address805 EAGLERIDGE BLVD STE 120Pueblo, CO 81008-2354
Mailing Address805 Eagleridge Blvd Ste 120Pueblo, CO 81008-2354 · (970) 209-0223
Phone(970) 209-0223
Organization SubpartNo
Authorized OfficialJudy DevincentisMember · (970) 209-0223
Enumeration DateJune 9, 2015
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1104207760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
805 EAGLERIDGE BLVD STE 120, Pueblo, CO 81008
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Other Names 1

Doing Business AsDba Firstlight Home Care Pueblo

Other Identifiers 1

Medicaid76356523CO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moonlite, LLC's NPI number?

The NPI number for Moonlite, LLC is 1104207760. It was assigned to this organization in the NPPES registry on June 9, 2015. The provider is doing business as dba FirstLight Home Care Pueblo.

Where is Moonlite, LLC located?

Moonlite, LLC is located at 805 Eagleridge Blvd Ste 120, Pueblo, CO 81008. The listed phone number is (970) 209-0223.

What is Moonlite, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Moonlite, LLC was last updated on January 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.