Provider Demographics
NPI:1598254070
Name:MORINGA LLC
Entity type:Organization
Organization Name:MORINGA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WELSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-827-3213
Mailing Address - Street 1:11604 MOORESTOWN PL
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4275
Mailing Address - Country:US
Mailing Address - Phone:202-827-3213
Mailing Address - Fax:833-464-0121
Practice Address - Street 1:11604 MOORESTOWN PL
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-4275
Practice Address - Country:US
Practice Address - Phone:202-827-3213
Practice Address - Fax:833-464-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies