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MOSES GROUP HOME LLC
NPI 1720437890
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port St Lucie, FL

Active since June 08, 2016
4273 SW DIDO DR, PORT ST LUCIE, FL 34953(201) 214-8142 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Moses Group Home Llc NPPES

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

MOSES GROUP HOME LLC (NPI 1720437890) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Port St Lucie, Florida and active in the NPI registry since June 2016. The organization lists Shirley-ann Moses, Mgr, as its authorized official.

NPPES Registry Identity

NPI1720437890
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMOSES GROUP HOME LLC
Location Address4273 SW DIDO DRPort St Lucie, FL 34953-6434
Mailing Address4273 Sw Dido DrPort St Lucie, FL 34953-6434 · (201) 214-8142
Phone(201) 214-8142
Organization SubpartNo
Authorized OfficialShirley-ann MosesMgr · (201) 214-8142
Enumeration DateJune 8, 2016
✔ NPI 1720437890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
4273 SW DIDO DR, Port St Lucie, FL 34953
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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 Moses Group Home LLC's NPI number?

The NPI number for Moses Group Home LLC is 1720437890. It was assigned to this organization in the NPPES registry on June 8, 2016.

Where is Moses Group Home LLC located?

Moses Group Home LLC is located at 4273 SW Dido Dr, Port St Lucie, FL 34953. The listed phone number is (201) 214-8142.

What is Moses Group Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Moses Group Home LLC was last updated on June 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.