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Moosehaven Inc

NPI 1831311398ActiveOrganization· Skilled Nursing Facility· Orange Park, FL

Skilled Nursing Facility in Orange Park, Florida, registered in NPPES in May 2007. The authorized official on file is John Capes, Executive Director. Enrolled in Medicare as part a provider - skilled nursing facility and part b supplier - mass immunization (roster biller only).

Overview

NPI1831311398
StatusActive
Entity typeOrganization
NPI issuedMay 3, 2007
Last updated in NPPESJun 12, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000XEXEMPTFL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (FL); Part B Supplier - Mass Immunization (Roster Biller Only) (FL)

Medicare sources and data years

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