OrganizationActive
Moonlite, LLC
NPI 1104207760 · Home Health Agency · Pueblo, CO
Moonlite, LLC is a Home Health Agency organization in Pueblo, CO (NPI 1104207760).
Provider details
- NPI number
- 1104207760
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Judy Devincentis, Member(970) 209-0223
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
805 Eagleridge Blvd Ste 120
Pueblo, CO 81008-2354
Phone: (970) 209-0223
Street-level locationGet directions
Mailing address
805 Eagleridge Blvd Ste 120
Pueblo, CO 81008-2354
Other names (DBA / former)
- Doing business as
- Dba Firstlight Home Care Pueblo
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Moonlite, LLC's NPI number?
- Moonlite, LLC's National Provider Identifier (NPI) is 1104207760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moonlite, LLC?
- Moonlite, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Moonlite, LLC located?
- Moonlite, LLC's practice location on file with NPPES is 805 Eagleridge Blvd Ste 120, Pueblo, CO 81008-2354.
- What is Moonlite, LLC's phone number?
- The practice phone number listed in the NPPES registry for Moonlite, LLC is (970) 209-0223.
- Who is the authorized official for Moonlite, LLC?
- The authorized official listed on Moonlite, LLC's NPPES record is Judy Devincentis, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moonlite, LLC's NPI active?
- Yes — Moonlite, LLC's NPI (1104207760) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.