Provider Demographics
| NPI: | 1124231782 |
|---|---|
| Name: | MOORE CENTER SERVICES, INC. |
| Entity Type: | Organization |
| Organization Name: | MOORE CENTER SERVICES, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | VP/CFO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | DENISE |
| Authorized Official - Middle Name: | CAROLINE |
| Authorized Official - Last Name: | DOUCETTE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 603-206-2700 |
| Mailing Address - Street 1: | 195 MCGREGOR ST STE 400 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MANCHESTER |
| Mailing Address - State: | NH |
| Mailing Address - Zip Code: | 03102-3709 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 603-206-2700 |
| Mailing Address - Fax: | 603-622-4278 |
| Practice Address - Street 1: | 195 MCGREGOR ST STE 400 |
| Practice Address - Street 2: | |
| Practice Address - City: | MANCHESTER |
| Practice Address - State: | NH |
| Practice Address - Zip Code: | 03102-3709 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 603-206-2700 |
| Practice Address - Fax: | 603-622-4278 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-05-08 |
| Last Update Date: | 2023-06-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
| No | 385H00000X | Respite Care Facility | Respite Care | ||
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NH | 3074011 | Medicaid | |
| NH | 3139966 | Medicaid | |
| NH | 99560057 | Medicaid |
