MRS. MARSHA A. MOORE (NPI# 1073651691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073651691 |
| Entity Type | Individual |
| Full Name | MRS. MARSHA A. MOORE |
| Practice Address |
114 Somerset St Bangor ME 04401-5326 |
| Practice Telephone | 2079456183 |
| Mailing Telephone | 2079456183 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657570 | Marsha Moore | Custodial Care Facility | 284 Wilmers Rd, Punta Gorda, FL 33982-8570 | 2018-08-02 |
| 1538499298 | Marsha Carolyn Moore | Family Medicine | 8429 East Yearling Road, Scottsdale, AZ 85255-1483 | 2009-12-31 |
| 1396813598 | Marsha Ann Moore | Nurse Practitioner | 142 S 1st St, Raton, NM 87740-3902 | 2006-12-04 |
| 1972159846 | Marsha Althea Moore | Case Manager/Care Coordinator | 1639 Forum Pl Ste 7, West Palm Beach, FL 33401-2330 | 2019-08-15 |
| 1841747664 | Marsha Lynn Moore | Counselor | 635 W College St, Florence, AL 35630-5313 | 2016-09-09 |
| Street Address |
114 SOMERSET ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063818367 | Quality Care Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 532 Hammond St, Bangor, ME 04401-4544 | 2014-11-13 |
| 1265644314 | Mert Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 225 Bomarc Rd., Bangor, ME 04401 | 2007-05-03 |
| 1558490706 | Resources for Human Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2475 Ackermanville Rd, Bangor, PA 18013-9364 | 2007-03-05 |
| 1457498867 | U-can Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 Hammond St, Bangor, ME 04401-4647 | 2007-02-01 |
| 1902961782 | Kathleen Hope Rioux | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Olive Hts, Bangor, ME 04401-6815 | 2006-12-22 |
| 1962563825 | The Getchell Agency, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 785 Mount Hope Ave, Bangor, ME 04401-5621 | 2006-12-13 |
| 1427121243 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-17 |
| 1063614691 | Ucp of Northeastern Maine | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1659448504 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| 1508932898 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-28 |
| Find all providers in BANGOR | ||||
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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.