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MOONLIGHT HEALTHCARE SERIES LLC
NPI 1174124820
In Home Supportive Care in Plano, TX

Active since November 07, 2020
3700 GRIFBRICK DR, PLANO, TX 75075(469) 733-8622(469) 965-9401 Get Directions Write a Review

NPPES record last updated: November 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moonlight Healthcare Series Llc NPPES

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

MOONLIGHT HEALTHCARE SERIES LLC (NPI 1174124820) is a healthcare organization registered as an in home supportive care in Plano, Texas and active in the NPI registry since November 2020. The organization lists Olusegun B Abejide, Owner, as its authorized official.

NPPES Registry Identity

NPI1174124820
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameMOONLIGHT HEALTHCARE SERIES LLC
Location Address3700 GRIFBRICK DRPlano, TX 75075-1514
Mailing Address3700 Grifbrick DrPlano, TX 75075-1514 · (469) 733-8622 · Fax (469) 965-9401
Phone(469) 733-8622
Fax(469) 965-9401
Organization SubpartNo
Authorized OfficialOlusegun B AbejideOwner · (469) 733-8622
Enumeration DateNovember 7, 2020
NPPES CertifiedNovember 7, 2020
✔ NPI 1174124820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
3700 GRIFBRICK DR, Plano, TX 75075
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP
Intermediate Care Facility, Intellectual Disabilities
3700 GRIFBRICK DR
PLANO, TX 75075
Collin County (972) 517-3762

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 Moonlight Healthcare Series LLC's NPI number?

The NPI number for Moonlight Healthcare Series LLC is 1174124820. It was assigned to this organization in the NPPES registry on November 7, 2020.

Where is Moonlight Healthcare Series LLC located?

Moonlight Healthcare Series LLC is located at 3700 Grifbrick Dr, Plano, TX 75075. The listed phone number is (469) 733-8622.

What is Moonlight Healthcare Series LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Moonlight Healthcare Series LLC was last updated on November 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.