DAVID MOORE JR (NPI# 1679798045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679798045 |
| Entity Type | Organization |
| Organization Name | DAVID MOORE JR |
| Other Organization Name | MOORES HOUSE |
| Practice Address |
3108 Dearborn Dr Durham NC 27704-2306 |
| Mailing Address |
3108 Dearborn Dr Durham NC 27704 |
| Practice Telephone | 9196329219 |
| Mailing Telephone | 9196329219 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MR. DAVID MOORE JR. (OWNER) |
| Authorized Official Telephone | 9196329219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | MHL-032-304 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805024 | 05 |
| Other Name | Type Code |
|---|---|
| Moores House | Doing Business As Name - Organization |
| Street Address |
3108 DEARBORN DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164655809 | Enhancement Healthcare | Intermediate Care Facility, Mental Illness | 3326 Guess Rd, Suite 205, Durham, NC 27705-2160 | 2009-08-28 |
| 1528259967 | Hazel Clinkscales | Intermediate Care Facility, Mental Illness | 2509 Lane St, Durham, NC 27707-4165 | 2007-08-08 |
| 1497880686 | Hattie C Carrington | Intermediate Care Facility, Mental Illness | 2815 Independence Ave, Durham, NC 27703-2512 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053889626 | Alston Care Home LLC | Intermediate Care Facility, Mental Illness | 1918 Carlton Ave, Greensboro, NC 27406-3209 | 2018-11-12 |
| 1639565179 | Latanya Goodwin | Intermediate Care Facility, Mental Illness | 558 Mission Rd, Winston Salem, NC 27103-1708 | 2015-04-11 |
| 1700128428 | Crystal Meadows Estates, LLC | Intermediate Care Facility, Mental Illness | 4173 Hearthside Drive, 104, Wilmington, NC 28412-8335 | 2013-03-20 |
| 1548546534 | Care One Homes Nc | Intermediate Care Facility, Mental Illness | 926 Edison Rd, Raleigh, NC 27610-3764 | 2011-10-23 |
| 1801037478 | The Last Stop On The Block | Intermediate Care Facility, Mental Illness | 111 Molesworth Dr, Morrisville, NC 27560-6324 | 2009-03-11 |
| 1164641601 | New Horizons Group Home | Intermediate Care Facility, Mental Illness | 3319 Auburn Dr, Fayetteville, NC 28306-9353 | 2007-04-24 |
| 1528188232 | C&w Alternative Family Living Facility, Inc. | Intermediate Care Facility, Mental Illness | 3365 New Walkertown Rd, Winston Salem, NC 27105-4160 | 2007-03-29 |
| 1922123892 | Emma Lucille Garvin | Intermediate Care Facility, Mental Illness | 4527 Country Club Rd, Winston Salem, NC 27104-3517 | 2007-03-20 |
| 1841741535 | Es House Inc | Intermediate Care Facility, Mental Illness | 612 E Presnell St, Asheboro, NC 27203-4817 | 2016-10-18 |
| 1124499165 | Veteran's Admin | Intermediate Care Facility, Mental Illness | 6 Birch St, Asheville, NC 28801-1602 | 2015-10-16 |
| Find all providers with the same taxonomy | ||||
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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.