KELLY MOORE


Address: 29 Nonotuck Rd, West Springfield, MA 01089-1616
Phone: 4133648843

KELLY MOORE (NPI# 1568817369) 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) 1568817369
Entity Type Individual
Full Name KELLY MOORE
Practice Address 29 Nonotuck Rd
West Springfield
MA 01089-1616
Practice Telephone 4133648843
Enumeration Date 2016-04-28
Last Update Date 2016-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 16178 CA Nursing & Custodial Care Facilities

Other Providers KELLY MOORE

NPI Name Taxonomy Address Enumeration
1457901233 Kelly Lynn Moore Counselor 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 2019-09-13
1962981563 Kelly Moore Massage Therapist 1776 S Jackson St Ste 830, Denver, CO 80210-3807 2018-08-14
1134619018 Kelly Michelle Moore Social Worker 446 Pinecrest Cir, Long Beach, MS 39560-3639 2018-05-16
1932630902 Kelly Moore Optometrist 1611 Plummer St #112e, North Hills, CA 91403-2036 2017-03-22
1780128942 Kelly Renee Moore Nurse Practitioner 224 Margaret Michelle Ct, Saint Peters, MO 63376-4812 2016-12-07
1588042980 Kelly Moore Registered Nurse 1507 Broad Blvd, Cuyahoga Falls, OH 44223-2434 2015-05-18
1770977563 Kelly Moore Registered Nurse 1120 Huffman Rd Ste 24-787, Anchorage, AK 99515-3516 2015-03-19
1790106342 Kelly Ann Moore Behavioral Analyst 17845 Ridgeland Ave, Tinley Park, IL 60477-4383 2013-12-29
1720327570 Kelly Moore Occupational Therapy Assistant 1848 E Gemini Dr, Tempe, AZ 85283-6000 2013-02-13
1578845913 Kelly Moore Counselor 38 Gray St, Asheville, NC 28801-2118 2011-09-12

Office Location

Street Address 29 NONOTUCK RD
City WEST SPRINGFIELD
State MA
Zip Code 01089-1616

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366040990 Konrad Syrek Behavioral Analyst 1472 Riverdale St. Suite A, West Springfield, MA 01089 2020-10-15
1861099335 Vanna Leang Behavioral Analyst 1472 Riverdale St, Suite A, West Springfield, MA 01089 2020-10-07
1215534755 Malakie Berry Behavioral Analyst 1472 Riverdale St., Suite A, West Springfield, MA 01089 2020-10-07
1952800930 Nicole Coughlin Social Worker 103 Myron St. Suite A, West Springfield, MA 01089 2018-02-06
1679017156 Tender Care Helping Hands LLC Home Health 1434 Memorial Ave, Westspringfield, MA 01089 2016-12-19
1154736130 Mikin Patel Dentist 235b Memorial Ave, West Springfield, MA 01089 2014-06-27
1881029312 Melinda A Koblosh Physical Therapist 1111 Elm St., Suite 9, West Springfield, MA 01089 2013-09-03
1316379852 Jessica C Marquez Social Worker 204 Wayside Ave, West Springfield, MA 01089 2013-08-07
1114360112 Center for Human Development In Home Supportive Care 247 Park St, West Springfield, MA 01089 2013-04-10
1336421395 John L. O'neill Social Worker 103 Myron Street Suite A, West Springfield, MA 01089 2011-09-15
Find all providers in zip 01089

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730179367 Riverdale Gardens Rehab and Nursing Center Skilled Nursing Facility 42 Prospect Ave, West Springfield, MA 01089-4510 2005-10-25
1649730466 Bear Mt West Springfield LLC Skilled Nursing Facility 42 Prospect Ave, West Springfield, MA 01089-4510 2019-03-20
1336190867 Src West Springfield, Inc. Skilled Nursing Facility 42 Prospect Ave, West Springfield, MA 01089-4510 2006-05-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255945325 Holyoke Care Center, LLC Skilled Nursing Facility Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 2020-09-04
1093365322 Seashore Pointe Rehab Center LLC Skilled Nursing Facility Seashore Pointe Rehab Center LLC, 100 Alden Street, Provincetown, MA 02657 2019-09-18
1548813850 Pleasant Bay of Brewster Rehab Center LLC Skilled Nursing Facility 383 South Orleans Road, Brewster, MA 02631 2019-07-17
1396208039 Wilmington Rehab Center LLC Skilled Nursing Facility 90 West Street, Wilmington, MA 01887 2019-04-10
1972039113 Lutheran Home of Jamaica Plain, Inc. Skilled Nursing Facility 174 Forest Hills St, Jamaica Plain, MA 02130-3353 2017-05-09
1033657796 Regis College Skilled Nursing Facility 1 Chase Ln, Lynn, MA 01902-3266 2017-02-02
1174061832 Regis College Skilled Nursing Facility 88 Franklin St, Lynn, MA 01902-4168 2017-02-02
1679010193 Juliana Skilled Nursing Facility 414 Shaw St, Braintree, MA 02184-1226 2017-01-22
1174067052 Companion Health Services Skilled Nursing Facility 284 North St, Boston, MA 02113-2108 2016-12-12
1104276187 National Healthcare Corporation Skilled Nursing Facility 421 Laurel St, Bridgewater, MA 02324-2703 2016-06-21
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Competitor

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City WEST SPRINGFIELD
Zip Code 01089

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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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