Moore Home

LBN: Moore Home
Moore Home is an health care organization with primary practice located at 232 Newport Dr , Jacksonville NC 28540-4005. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Moore Home can be contacted via phone (910) 353-9328, or through Moore, Rick A via phone (910) 353-9328.

Contact Information

Primary practice address
232 Newport Dr Jacksonville NC 28540-4005
Phone: (910) 353-9328
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Rick A
Phone: (910) 353-9328

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-147 North Carolina

Profile Details

NPI number 1639204233
LBN Legal business name Moore Home
DBA Doing business as
Authorized official Moore, Rick A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639204233 NPPES
North Carolina Other MHL-147 M H FACILITY LICENSE#
North Carolina MEDICAID 3409541 M H FACILITY LICENSE#

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