MOICANO HEALTHCARE PROVIDER LLC
NPI 1275939811
Home Health in Springdale, OH

Active since November 10, 2014
260 NORTHLAND BLVD STE 320, SPRINGDALE, OH 45246(513) 580-3109(513) 818-9594 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2016, Dec 17, 2015 (2 updates tracked since 2015).

About Moicano Healthcare Provider Llc NPPES

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

MOICANO HEALTHCARE PROVIDER LLC (NPI 1275939811) is a healthcare organization registered as a home health in Springdale, Ohio and active in the NPI registry since November 2014. The organization lists Caleb N Lola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275939811
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMOICANO HEALTHCARE PROVIDER LLC
Location Address260 NORTHLAND BLVD STE 320Springdale, OH 45246-4921
Mailing Address260 Northland Blvd Ste 320Springdale, OH 45246-4921 · (513) 580-3109 · Fax (513) 818-9594
Fax(513) 818-9594
Organization SubpartNo
Authorized OfficialCaleb N LolaCeo · 18006176733
Enumeration DateNovember 10, 2014
Last NPPES UpdateFebruary 10, 20162 updates tracked since enumeration
NPI 1275939811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in OH · 2264980
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.
260 NORTHLAND BLVD STE 320, Springdale, OH 45246

Other Names 1

Former Legal Business NameMoicano Healthcare Provider Llc

Other Identifiers 1

Medicaid0103628OH

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 Moicano Healthcare Provider LLC's NPI number?

The NPI number for Moicano Healthcare Provider LLC is 1275939811. It was assigned to this organization in the NPPES registry on November 10, 2014.

Where is Moicano Healthcare Provider LLC located?

Moicano Healthcare Provider LLC is located at 260 Northland Blvd Ste 320, Springdale, OH 45246. The listed phone number is (513) 580-3109.

What is Moicano Healthcare Provider 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 Moicano Healthcare Provider LLC was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.