Provider Demographics
NPI:1073761458
Name:MOORE CREATIVE SERVICES, INC.
Entity Type:Organization
Organization Name:MOORE CREATIVE SERVICES, INC.
Other - Org Name:HOMEWATCH CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-654-9574
Mailing Address - Street 1:751 LAUREL ST # 860
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3113
Mailing Address - Country:US
Mailing Address - Phone:650-654-9574
Mailing Address - Fax:650-654-9577
Practice Address - Street 1:751 LAUREL ST # 860
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-3113
Practice Address - Country:US
Practice Address - Phone:650-654-9574
Practice Address - Fax:650-654-9577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health