Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moses Group Home LLC

Organization Developmental Disabilities Clinic/Center · NPI 1720437890

Moses Group Home LLC is a Developmental Disabilities Clinic/Center in Port St Lucie, Florida. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4273 SW Dido Dr
Port St Lucie, FL 34953-6434
Phone: (201) 214-8142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X

Record details

NPI number1720437890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley-Ann Moses — Mgr · (201) 214-8142
NPI enumeratedJune 8, 2016
Last updated in NPPESJune 8, 2016
Mailing address4273 Sw Dido Dr, Port St Lucie, FL 34953-6434

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