Mooreresidence Home, Inc in Fresh Meadows - Licensed Practical Nurse

Mooreresidence Home, Inc - NPI 1154468015

Mooreresidence Home, Inc is a Licensed Practical Nurse in Fresh Meadows, New York. Mooreresidence Home, Inc practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Mooreresidence Home, Inc is 1154468015. The last update date is 2020-08-22.

Mooreresidence Home, Inc's current location address is P.o. Box 650 439, Fresh Meadows, New York. You can contact this provider via phone number 7187397420 and fax number 7184873722. The mailing address for Mooreresidence Home, Inc is P.o. Box 650 439, Fresh Meadows, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mooreresidence Home, Inc
Address P.o. Box 650 439, Fresh Meadows, New York
Phone Number 7187397420
Fax Number 7184873722
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FOUNDER P
Authorized Official Name Moore A Donna
Credentials MHS, LMHC
Telephone Number 7187397420

NPI Number Detail

NPI Number 1154468015
Provider Enumeration Date 2007-01-31
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address P.o. Box 650 439
City Fresh Meadows
State New York (NY)
Post Code 11365
Phone Number 7187397420
Fax Number 7184873722

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 209905-1
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Mooreresidence Home, Inc

What is the unique 10-digit identification code assigned to Mooreresidence Home, Inc by the Centers for Medicare & Medicaid Services?

The Mooreresidence Home, Inc has been issued the NPI (National Provider Identifier) 1154468015, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mooreresidence Home, Inc is physically located?

The Mooreresidence Home, Inc is physically situated at the following address: P.O. Box 650 439, Fresh Meadows, NY, 11365.

What is Mooreresidence Home, Inc's area of expertise and its corresponding taxonomy classification?

The Mooreresidence Home, Inc's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1154468015 to Mooreresidence Home, Inc?

The Mooreresidence Home, Inc received its 1154468015 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.

When was the information pertaining to Mooreresidence Home, Inc most recently updated or revised?

The details related to Mooreresidence Home, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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