MONESHA MARIA MOORE (NPI# 1407415730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407415730 |
| Entity Type | Individual |
| Full Name | MONESHA MARIA MOORE |
| Practice Address |
29555 Laurel Woods Dr Apt 205 Southfield MI 48034-4664 |
| Mailing Address |
15400 Gilchrist St Detroit MI 48227-1575 |
| Practice Telephone | 3134225369 |
| Mailing Telephone | 3134225369 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
29555 LAUREL WOODS DR APT 205 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-4664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922423227 | Montinique Tolson | Adult Companion | 23234 Poplar Dr, Southfield, MI 48075-3678 | 2014-02-23 |
| 1134420805 | Gharian Melik Carver | Adult Companion | 29900 Franklin Rd Unit 151, Southfield, MI 48034-1199 | 2010-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131112 | Kimberly Ann Walker | Adult Companion | 452 Bay St, Pontiac, MI 48342-1912 | 2020-10-13 |
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1346883618 | Barbara Rodriguez | Adult Companion | 2295 N Winn Rd, Mount Pleasant, MI 48858-9736 | 2019-10-19 |
| 1407412638 | Geisha Shanee Burton | Adult Companion | 8160 E Lantz St, Detroit, MI 48234-3303 | 2019-05-13 |
| 1639636855 | Latesa Renae Thomas | Adult Companion | 11611 Grayton St, Detroit, MI 48224-1643 | 2019-02-24 |
| 1912470907 | Austyn Desean Hollingshed | Adult Companion | 485 Hustler St, Gwinn, MI 49841-2902 | 2019-01-02 |
| 1437626256 | Carrie Lynn Dextrom | Adult Companion | 9200 W Walker Rd, Manton, MI 49663-9315 | 2018-10-30 |
| 1205323086 | Theresa A Akin | Adult Companion | 20485 Goddard St Apt 102, Detroit, MI 48234-1354 | 2018-04-17 |
| 1114442084 | Rhonda Lewis | Adult Companion | 18603 Mendota St, Detroit, MI 48221-1911 | 2017-08-11 |
| 1275062002 | Iyeshia Galloway | Adult Companion | 5075 Farmbrook St, Detroit, MI 48224-1377 | 2017-06-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.