OrganizationActive
Moon River, LLC
NPI 1306121017 · Home Health Agency · Marietta, GA
Moon River, LLC is a Home Health Agency organization in Marietta, GA (NPI 1306121017).
Provider details
- NPI number
- 1306121017
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Parent organization
- Moon River, LLC
- Organization subpart
- Yes
- Authorized official
- Maria Smith, President(770) 977-6866
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
790 Oak Trail Dr.
Marietta, GA 30062-7502
Phone: (770) 977-6866
Fax: (770) 977-6887
Street-level locationGet directions
Mailing address
790 Oak Trail Dr.
Marietta, GA 30062-7502
Other names (DBA / former)
- Other name
- Therapy Services Bcw
Registry dates
- Enumerated
- 2011-10-13
- Last updated
- 2011-10-13
Frequently asked questions
- What is Moon River, LLC's NPI number?
- Moon River, LLC's National Provider Identifier (NPI) is 1306121017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moon River, LLC?
- Moon River, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Moon River, LLC located?
- Moon River, LLC's practice location on file with NPPES is 790 Oak Trail Dr., Marietta, GA 30062-7502.
- What is Moon River, LLC's phone number?
- The practice phone number listed in the NPPES registry for Moon River, LLC is (770) 977-6866.
- Who is the authorized official for Moon River, LLC?
- The authorized official listed on Moon River, LLC's NPPES record is Maria Smith, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moon River, LLC's NPI active?
- Yes — Moon River, LLC's NPI (1306121017) is active in the NPPES registry as of the last update on 2011-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.