TINA MOORE (NPI# 1083088553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083088553 |
| Entity Type | Individual |
| Full Name | TINA MOORE |
| Practice Address |
1500 Byron Rd Howell MI 48855-6772 |
| Practice Telephone | 5175529323 |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2015-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | M048706 | MI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173967 | Tina Marie Moore | Adult Companion | 347 Covington Dr Ste A, Waterloo, IL 62298-3287 | 2020-10-27 |
| 1770059420 | Tina R Moore | Social Worker | 3000 Cleveland Ave Ste 201, Santa Rosa, CA 95403-2117 | 2018-10-21 |
| 1285018614 | Tina Moore | Technician, Other | 41943 Hensall St, Clinton Twp, MI 48038-1971 | 2015-07-15 |
| 1528576071 | Tina Marie Moore | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2018-01-18 |
| 1033531181 | Tina Moore | Nurse Practitioner | 1860 N Church Rd, Liberty, MO 64068 | 2014-01-08 |
| 1760710966 | Tina Moore | Social Worker | 1681 Crown Ave, Suite 201, Lancaster, PA 17601-6303 | 2009-11-27 |
| 1467687855 | Tina Mckenzie Moore | Counselor | 2288 Second Street Pike Ste 6, Newtown, PA 18940-4108 | 2009-05-28 |
| 1851483523 | Tina L. Moore | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-09-29 |
| Street Address |
1500 BYRON RD |
| City | HOWELL |
| State | MI |
| Zip Code | 48855-6772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183372 | Trilogy Healthcare of Livingston, LLC | Skilled Nursing Facility | 1500 Byron Rd, Howell, MI 48855-6772 | 2015-01-06 |
| 1841812161 | Melissa Mae Obrien | Physical Therapy Assistant | 1500 Byron Rd, Howell, MI 48855-6772 | 2020-05-08 |
| 1124522602 | Audrey D. Oleski | Occupational Therapist | 1500 Byron Rd, Howell, MI 48855-6772 | 2018-03-20 |
| 1437530581 | Holly Glowacki | Specialist | 1500 Byron Rd, Howell, MI 48855-6772 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326432105 | Kelsey Lavalley | Specialist/Technologist | 2345 Hacker Road, Howell, MI 48855 | 2015-03-19 |
| 1316183643 | Nichole Lynn Brady-kourt | Counselor | 3744 Amber Oaks Dr, Howell, MI 48855 | 2008-12-16 |
| 1083898738 | Abelardo V Bustillo | General Practice | 1335 Byron Rd, Suite 2, Howell, MI 48855 | 2007-12-18 |
| 1760615975 | Livingston County Community Mental Health Authority | Social Worker | 3800 W Grand River Ave, Suite 109, Howell, MI 48855-5513 | 2009-09-03 |
| 1043360720 | Matthew S Woodruff | Physical Medicine & Rehabilitation | 2364 Redbud Dr, Howell, MI 48855-6410 | 2007-01-12 |
| 1508317348 | Stacey Sheridan | Speech-Language Pathologist | 2265 Hickory Circle Dr, Howell, MI 48855-6411 | 2016-10-17 |
| 1790180867 | Emily Marian Henderson | Physician Assistant | 1579 Duck Dr, Howell, MI 48855-6429 | 2014-10-30 |
| 1427281930 | Donna Lee Pease | Licensed Practical Nurse | 3250 Listerman Rd, Howell, MI 48855-6716 | 2009-08-31 |
| 1578911582 | Madyson Wetzel | Technician, Other | 5335 Reds Way, Howell, MI 48855-6758 | 2016-05-31 |
| 1225415177 | Karrie Deland | Speech-Language Pathologist | 5010 Caramae Ln, Howell, MI 48855-6775 | 2015-04-29 |
| Find all providers in zip 48855 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710441704 | Autumn Management LLC | Skilled Nursing Facility | 4201 Route 9, Howell, NJ 07731-3308 | 2019-01-24 |
| 1891183372 | Trilogy Healthcare of Livingston, LLC | Skilled Nursing Facility | 1500 Byron Rd, Howell, MI 48855-6772 | 2015-01-06 |
| 1881936060 | Wellbridge of Brighton, LLC | Skilled Nursing Facility | 2200 Dorr Rd, Howell, MI 48843-8626 | 2013-03-26 |
| 1134174535 | Five Star Quality Care-mi LLC | Skilled Nursing Facility | 3003 W Grand River Ave, Howell, MI 48843-8539 | 2006-05-23 |
| 1053371641 | Medilodge of Howell Inc | Skilled Nursing Facility | 1333 W Grand River Ave, Howell, MI 48843-1980 | 2006-03-27 |
| 1528423886 | Howell Opco LLC | Skilled Nursing Facility | 3003 W Grand River Ave, Howell, MI 48843-8539 | 2015-12-30 |
| 1053785642 | Howell Opco LLC | Skilled Nursing Facility | 3003 W Grand River Ave, Howell, MI 48843-8539 | 2015-11-19 |
| 1750624888 | Howell Nursing, LLC | Skilled Nursing Facility | 3003 W Grand River Ave, Howell, MI 48843-8539 | 2013-03-27 |
| 1093053696 | Howell Nursing, LLC | Skilled Nursing Facility | 3003 W Grand River Ave, Howell, MI 48843-8539 | 2013-01-17 |
| 1861605529 | Five Star Quality Care-mi, LLC | Skilled Nursing Facility | 3003 W Grand River Ave, Howell, MI 48843-8539 | 2007-05-08 |
| Find all providers in HOWELL | ||||
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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.