SHANNON ROBERTA MOORE (NPI# 1043825565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043825565 |
| Entity Type | Individual |
| Full Name | SHANNON ROBERTA MOORE |
| Practice Address |
5686 Broadview Rd Apt 2520 Parma OH 44134-1647 |
| Practice Telephone | 1614806070 |
| Mailing Telephone | 1614806070 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 3018684 | OH | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
| 1770006660 | Shannon Moore | Optometrist | 340 Wood Rd Ste 2020, Braintree, MA 02184-2404 | 2017-07-21 |
| 1316327851 | Shannon Moore | Technician, Other | 24837 Princeton St, Dearborn, MI 48124-4457 | 2015-05-30 |
| 1659713071 | Shannon Lori Moore | Dietitian, Registered | 1114 Thomasville Rd Ste G, Tallahassee, FL 32303-6273 | 2013-07-26 |
| 1326388893 | Shannon Michelle Moore | Developmental Therapist | 340 Ralley Rd, Keavy, KY 40737-2729 | 2013-02-21 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1669767208 | Shannon M Moore | Pharmacist | 80 Baker St, Richmond, VT 05477-7750 | 2011-06-11 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1689630246 | Shannon Jessica Moore | Optometrist | 528 Waterloo Rd, Warrenton, VA 20186-3011 | 2006-04-24 |
| 1144863176 | Shannon Moore | Behavior Technician | 901 O St, Suite C, Arcata, CA 95521-5789 | 2019-10-22 |
| Street Address |
5686 BROADVIEW RD APT 2520 |
| City | PARMA |
| State | OH |
| Zip Code | 44134-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061709 | Gary A. Long | Occupational Therapy Assistant | 3920 Hilltop Drive, Parma, OH 44134 | 2016-05-23 |
| 1932556057 | Roman Povroznik | Social Worker | 4414 Forest Hills Blvd, Parma, OH 44134 | 2016-05-18 |
| 1316321441 | Frank Townsley Jr. | Counselor | 6735 State Rd Cottage 16, Parma, OH 44134 | 2015-07-18 |
| 1083019624 | Camille Grant | Licensed Practical Nurse | 5556 Broaview Rd. Apt3123, Parma, OH 44134 | 2014-10-24 |
| 1952721201 | Vernard Jones Sr. | Nurse's Aide | 2419 Stanfield Dr., Parma, OH 44134 | 2014-04-24 |
| 1255772463 | Deborah Halina Palmentera | Day Training/Habilitation Specialist | 1911 Grantwood Drive, Parma, OH 44134 | 2013-07-16 |
| 1962710582 | Abdallah Ali | Family Medicine | 1400 W Pleasant Valley Road, Parma, OH 44134 | 2010-09-16 |
| 1285947044 | Gwendolyn M Klamut | Speech-Language Pathologist | 5525 Broadview Road, Parma, OH 44134 | 2010-07-22 |
| 1992943435 | Gina Friszman | Speech-Language Pathologist | 5273 Broadview Rd., The Therapy Link, Parma, OH 44134 | 2009-01-21 |
| 1285823252 | Teresa Ellen Blevins | Occupational Therapy Assistant | 1440 Snow Road, Parma, OH 44134 | 2007-10-16 |
| Find all providers in zip 44134 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542295 | Karen Doubrava | In Home Supportive Care | 2341 Dentzler Rd, Parma, OH 44134-5422 | 2020-09-15 |
| 1699324418 | North Star Home Care Inc. | In Home Supportive Care | 4805 W Pleasant Valley Rd Ste 3, Parma, OH 44129-6700 | 2019-09-04 |
| 1407391709 | Warm Living Healthcare | In Home Supportive Care | 1440 Rockside Rd, Suite 111, Parma, OH 44134-2774 | 2016-12-23 |
| 1609113034 | Tender Hearts Assisted Care-giving Inc. | In Home Supportive Care | 4805 W Pleasant Valley Rd, Suite 3, Parma, OH 44129-6751 | 2013-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366387 | Yvonne Zachery | In Home Supportive Care | 2830 Lacresta Dr., Beavercreek, OH 45431-8909 | 2020-11-06 |
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1366043143 | Susan Ann Williams | In Home Supportive Care | 3730 Bean Oller Rd, Delaware, OH 43015-9283 | 2020-11-06 |
| 1619578796 | Cindy Jo Alwine | In Home Supportive Care | 452 Woodland Dr, Shadyside, OH 43947-1199 | 2020-11-04 |
| 1194326272 | Margaret Engelhard | In Home Supportive Care | 8773 Creekwood Dr, Maineville, OH 45039-8206 | 2020-11-04 |
| 1154922532 | Rita Ann Beck | In Home Supportive Care | 212 Harbel Dr, Saint Clairsville, OH 43950-1043 | 2020-11-03 |
| 1588265888 | Michelle Yvonne Low | In Home Supportive Care | 774 Humble Rd, Tallmadge, OH 44278-3133 | 2020-11-03 |
| 1740881002 | Laurie Ann Galownia | In Home Supportive Care | 146 N Sugar St, Saint Clairsville, OH 43950-1328 | 2020-11-03 |
| 1649871096 | Martha Jane Nix | In Home Supportive Care | 464 Oxford Ave, Akron, OH 44310-3354 | 2020-11-03 |
| 1316548829 | Raquel Covington | In Home Supportive Care | 1629 Greenlawn Ave, Akron, OH 44301-2743 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.