KALILA REBECCA MOORE


Address: 645 Pennsylvania Ave Se Ste 102, Washington, DC 20003-4379
Phone: 2027457000

KALILA REBECCA MOORE (NPI# 1124648134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124648134
Entity Type Individual
Full Name KALILA REBECCA MOORE
Practice Address 645 Pennsylvania Ave Se Ste 102
Washington
DC 20003-4379
Practice Telephone 2027457000
Mailing Telephone 2027457000
Enumeration Date 2020-04-20
Last Update Date 2020-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator DC Other Service Providers

Office Location

Street Address 645 PENNSYLVANIA AVE SE STE 102
City WASHINGTON
State DC
Zip Code 20003-4379

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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144849597 Barbara Denise Gaskins Case Manager/Care Coordinator 719 W 15th St Ste 727, Washington, NC 27889-3667 2020-04-15
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1902331838 Phillis Terry Case Manager/Care Coordinator 2827 7th St Ne, Washington, DC 20017-1309 2017-04-28
1043745953 Devenette Satterwhite Case Manager/Care Coordinator 1106 45th Pl Se, Washington, DC 20019-4907 2017-04-28
1689106312 Freddie Hall Case Manager/Care Coordinator 3501 Jay St Ne Apt 101, Washington, DC 20019-1635 2017-03-31
1891236071 Ladawn Patterson Case Manager/Care Coordinator 5182 Eastern Ave Ne Apt 104, Washington, DC 20011-2768 2017-03-20
1083155618 Kazra White Case Manager/Care Coordinator 600 Kenilworth Ter Ne Apt 416, Washington, DC 20019-1899 2017-03-15
1598206468 Bitanya Weldesembet Case Manager/Care Coordinator 5930 14th St Nw Apt 301, Washington, DC 20011-1774 2017-03-13
1467993550 Roberta Campbell Case Manager/Care Coordinator 4832 Bass Pl Se, Washington, DC 20019-5147 2017-03-09
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City WASHINGTON
Zip Code 20003

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Dataset Information

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.

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