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THERAPY SERVICES BCW
NPI 1306121017
Home Health in Marietta, GA

Active since October 13, 2011
790 OAK TRAIL DR., MARIETTA, GA 30062(770) 977-6866(770) 977-6887 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Therapy Services Bcw NPPES

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

THERAPY SERVICES BCW (NPI 1306121017) is a healthcare organization registered as a home health in Marietta, Georgia and active in the NPI registry since October 2011. The organization lists Maria T Smith, President, as its authorized official.

NPPES Registry Identity

NPI1306121017
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMOON RIVER, LLC
Location Address790 OAK TRAIL DR.Marietta, GA 30062-7502
Mailing Address790 Oak Trail Dr.Marietta, GA 30062-7502 · (770) 977-6866 · Fax (770) 977-6887
Phone(770) 977-6866
Fax(770) 977-6887
Organization SubpartYes
Authorized OfficialMaria T SmithPresident · (770) 977-6866
Enumeration DateOctober 13, 2011
✔ NPI 1306121017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
790 OAK TRAIL DR., Marietta, GA 30062
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Other Names 1

Other NameTherapy Services Bcw

Other Identifiers 1

Medicaid223654765AGA

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 Moon River, LLC's NPI number?

The NPI number for Moon River, LLC is 1306121017. It was assigned to this organization in the NPPES registry on October 13, 2011. The provider is also known as Therapy Services Bcw.

Where is Moon River, LLC located?

Moon River, LLC is located at 790 Oak Trail Dr., Marietta, GA 30062. The listed phone number is (770) 977-6866.

What is Moon River, 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 Moon River, LLC was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.