DEREK MOORE (NPI# 1306462833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306462833 |
| Entity Type | Individual |
| Full Name | DEREK MOORE |
| Practice Address |
15024 Mormon St Bennington NE 68007-1246 |
| Practice Telephone | 4028893140 |
| Mailing Telephone | 4028893140 |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568829299 | Derek Moore | Chiropractor | 401 W Atlantic Ave Unit 14, Delray Beach, FL 33444 | 2016-01-26 |
| 1285067728 | Derek Moore | Dentist | 1916 25th St, Sacramento, CA 95816-7214 | 2013-08-20 |
| 1376697391 | Derek Moore | Surgery | 4220 Harding Pike Ste 401, Nashville, TN 37205-2005 | 2007-01-23 |
| 1952476772 | Derek Riddick Moore | Chiropractor | 8996 Seminole Blvd, Seminole, FL 33772-3850 | 2006-11-21 |
| 1427062165 | Derek Dykes Moore | Social Worker | 22 Mcgrath Hwy, Somerville, MA 02143-4508 | 2006-07-28 |
| 1174135552 | Derek Moore | Case Manager/Care Coordinator | 902 Gallia St, Portsmouth, OH 45662-4139 | 2020-08-18 |
| 1659931046 | Derek Moore | Family Medicine | 10 Shurs Ln Ste 301, Philadelphia, PA 19127-2123 | 2019-06-18 |
| 1851876031 | Derek Raymond Moore | Counselor | 8020 W 87th St, Hickory Hills, IL 60457-1189 | 2018-10-03 |
| 1528306511 | Derek Thomas Moore | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 4.331, Houston, TX 77030-1501 | 2013-01-25 |
| 1033405220 | Derek Cecil Moore | Emergency Medicine | 29000 Center Ridge Rd, Suite 150, Westlake, OH 44145-5293 | 2011-06-26 |
| Street Address |
15024 MORMON ST |
| City | BENNINGTON |
| State | NE |
| Zip Code | 68007-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382409 | Kimberley Ann Cox Yahnke | Occupational Therapist | 15037 Cherry St, Bennington, NE 68007 | 2015-07-24 |
| 1932414604 | Community Rehab Inc. | Clinic/Center | 12301 No. 149th Circle, Ridgewood Clubhouse, Omaha, NE 68007 | 2010-08-18 |
| 1144431776 | Paul E Bacino Dds PC | Dentist | 132 S Stark St, Bennington, NE 68007 | 2007-05-25 |
| 1871657791 | Bennington Volunteer Fire | Ambulance | 15509 Warehouse Street, Bennington, NE 68007 | 2006-12-22 |
| 1851477715 | Chad Ferguson | Chiropractor | 15763 Cw Hadan Dr, Bennington, NE 68007 | 2006-10-31 |
| 1306995923 | Ferguson Health Care Inc | Chiropractor | 15763 Cw Hadan Dr, Bennington, NE 68007 | 2007-01-10 |
| 1023170628 | Paul Edward Bacino | Dentist | 132 South Stark St, Bennington, NE 68007-0166 | 2006-12-14 |
| 1689929648 | Heather E Clover | Counselor | 8064 N 144th Avenue Cir, Bennington, NE 68007-1101 | 2012-07-16 |
| 1669909792 | Amanda M Kluver | Specialist/Technologist | 15810 Young Cir, Bennington, NE 68007-1400 | 2017-05-19 |
| 1194114629 | Jill Powers | Occupational Therapist | 7109 N 153rd Cir, Bennington, NE 68007-1410 | 2015-01-21 |
| Find all providers in zip 68007 | ||||
| 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 |
|---|---|---|---|---|
| 1942598651 | Premier Home Care Inc. | In Home Supportive Care | 1962 Granite Rd, Bennington, KS 67422-9077 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451315 | Omaha Native LLC | In Home Supportive Care | 3610 N 163rd Plz # 101, Omaha, NE 68116-2164 | 2020-09-15 |
| 1710500525 | Gorman LLC | In Home Supportive Care | 1400 Dahlberg Dr Ste E, Lincoln, NE 68512-9217 | 2020-05-27 |
| 1477180503 | Ananda Lumpkin | In Home Supportive Care | 12958 Jessie Ave, Omaha, NE 68164-1373 | 2020-03-26 |
| 1285260794 | Home Care Partners of Nebraska, LLC | In Home Supportive Care | 285 S 68th Street Pl Ste 306, Lincoln, NE 68510-2584 | 2020-03-16 |
| 1447885231 | Swap Inc | In Home Supportive Care | 12432 S 36th St Apt C20, Bellevue, NE 68123-1270 | 2020-03-12 |
| 1487293759 | Matlock Home Care LLC | In Home Supportive Care | 5510 Miller Ave, Ralston, NE 68127-3826 | 2020-01-03 |
| 1710537204 | American Home Healthcare | In Home Supportive Care | 7407 Dodge St, Omaha, NE 68114-3615 | 2019-09-17 |
| 1548814569 | Three Cedars Inc. | In Home Supportive Care | 1007 N Jeffers St, North Platte, NE 69101-3028 | 2019-07-29 |
| 1922652924 | Personal Home Services, LLC | In Home Supportive Care | 11301 W Holdrege St, Lincoln, NE 68528-8860 | 2019-07-29 |
| 1851944508 | Lincoln Ne Homecare LLC | In Home Supportive Care | 3120 O St Ste A, Lincoln, NE 68510-1548 | 2019-07-22 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 68007 |
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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.